Active NPI
Catherine Zdanek, RPH
- Pharmacist
- Glenwood Springs, CO
National Provider Identifier
1164904785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0010548
- Practice address
- 1412 Grand Ave
Glenwood Springs, CO 81601-3808 - Phone
- (970) 945-7403
- Fax
- (970) 945-9697
- NPI assigned
- Aug 30, 2018
- Last updated
- Aug 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 0010548 | WV | Primary |
Addresses
Primary practice location
1412 Grand Ave
Glenwood Springs, CO 81601-3808
Mailing address
2964 Hall Ave
Grand Junction, CO 81504-4827
Phone (304) 266-8998
Other practice location 1
41 Williams Dr
Spencer, WV 25276-1825
Phone (304) 927-3784
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010548 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willow Drug Incorporated | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1164904785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2964 HALL AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815044827",
"telephone_number": "304-266-8998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 GRAND AVE",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816013808",
"telephone_number": "970-945-7403",
"fax_number": "970-945-9697"
}
],
"practiceLocations": [
{
"address_1": "41 Williams Dr",
"address_purpose": "LOCATION",
"city": "Spencer",
"state": "WV",
"postal_code": "252761825",
"country_code": "US",
"telephone_number": "304-927-3784",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZDANEK",
"first_name": "CATHERINE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-30",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "0010548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenwood Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.