Kathryn L Lupercio, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

OR8686 Issued in OR

Practice address

60 Division Ave
Eugene, OR 97404-5427

Phone

(541) 461-1433

Fax

(541) 467-1443

NPI assigned

Nov 25, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kathryn L Peters Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fred Meyer Stores Inc

  • Community/Retail Pharmacy
  • Eugene, OR
  • NPI 1972549830
  NPD (past)
• Fred Meyer Stores Inc.

  • Community/Retail Pharmacy
  • Lynnwood, WA
  • NPI 1558235762
  NPD (past)

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1124356308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 DIVISION AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974045427",
            "telephone_number": "541-461-1433",
            "fax_number": "541-461-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 DIVISION AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974045427",
            "telephone_number": "541-461-1433",
            "fax_number": "541-467-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPERCIO",
        "first_name": "KATHRYN",
        "middle_name": "L",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-25",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "OR8686",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "8686",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "PETERS",
            "middle_name": "L",
            "credential": "RPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amy Lundstedt, PHARM D
• Micah Lundstedt
• Melinda Grove Lunger, PT
• Lily Lane Lunnemann, LMT
• Patricia A Lunsford, PT
• James D Lupinski, DPT
• Erin M Lusk, CPM, LDM
• Benjamin Luskin, LPC, CPC
• Judith A. Luther
• Vita Luthmers, LMT

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Eugene, OR
• Providers in Eugene, OR by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.