Individual provider Active NPI

Catherine Zdanek, RPH

  • Pharmacist
  • Glenwood Springs, CO
National Provider Identifier
1164904785
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0010548 Issued in WV
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0010548WVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.