Katherine Collette
Individual provider Active NPI Pharmacist · Wichita, KS
NPI 1154735652 · NPPES record last updated Jun 12, 2014
Key facts
- NPI
- 1154735652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 1-16613 (KS)
- Practice address
- 7575 W Maple St
Wichita, KS 67209-2013 - Phone
- (316) 729-5348
- NPI assigned
- Jun 12, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-16613 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G & L Pharmacy, Inc. | Current | Accepting new patients | |
| Rush County Pharmacy LLC | Current | Accepting new patients | |
| G & L Pharmacy, Inc. | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-16613 | KS | Yes |
Addresses
Primary practice location
7575 W Maple St
Wichita, KS 67209-2013
Mailing address
7575 W Maple St
Wichita, KS 67209-2013
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.