Katie Ann Medford, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

2023030688 Issued in MO

Practice address

2712 Godfrey Rd
Godfrey, IL 62035-3311

Phone

(618) 466-0825

NPI assigned

Aug 3, 2023

Last updated

Aug 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1104508589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19714 JONES RD",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620526823",
            "telephone_number": "618-444-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 GODFREY RD",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620353311",
            "telephone_number": "618-466-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDFORD",
        "first_name": "KATIE",
        "middle_name": "ANN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2023030688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley D Martinson, OD
• James Mathus, D.M.D.
• Neill McDonald, LPTA
• Kathryn F McKenna, NP
• Melanie Means
• James Edward Merkle, D.M.D.
• Melissa Merkle, COTA
• Michael Robert Messmer, D.O.
• John Randall Miller, D.D.S.
• Matthew Patton Mindrup, LCSW

• Pharmacist in Godfrey, IL
• Providers in Godfrey, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.