Active NPI
Katie Hanley, PHARMD
- Pharmacist
- Round Rock, TX
National Provider Identifier
1124580824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 40966
- Practice address
- 701 E Palm Valley Blvd
Round Rock, TX 78664-3245 - Phone
- (512) 255-2144
- Fax
- (512) 255-2422
- NPI assigned
- Apr 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 40966 | TX | Primary |
Addresses
Primary practice location
701 E Palm Valley Blvd
Round Rock, TX 78664-3245
Mailing address
701 E Palm Valley Blvd
Round Rock, TX 78664-3245
Phone (512) 255-2144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40966 | Other | TX | PHARMACIST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40966 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quick Pharmacy, LLC | Past | Accepting new patients | |
| Quick Pharmacy, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Round Rock, TX
- NPI 1144332057
-
- Long Term Care Pharmacy
- Round Rock, TX
- NPI 1952961369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554163200000",
"number": "1124580824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 E PALM VALLEY BLVD",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786643245",
"telephone_number": "512-255-2144",
"fax_number": "512-255-2422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E PALM VALLEY BLVD",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786643245",
"telephone_number": "512-255-2144",
"fax_number": "512-255-2422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANLEY",
"first_name": "KATIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-02",
"last_updated": "2019-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "40966",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "40966",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.