Active NPI
Kaitlyn Rosser Cabot
- Pharmacist
- Columbia, SC
National Provider Identifier
1215379425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14182
- Practice address
- 900 Assembly St
Columbia, SC 29201-3938 - Phone
- (803) 212-7016
- NPI assigned
- Jul 29, 2013
- Last updated
- Jan 14, 2021
- 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 | 14182 | SC | Primary |
Addresses
Primary practice location
900 Assembly St
Columbia, SC 29201-3938
Mailing address
118 Montauk Dr
Lexington, SC 29072-6776
Other practice location 1
1903 S Lake Dr
Lexington, SC 29073-7760
Phone (803) 356-1001
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14182 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, 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": "1375056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1215379425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 MONTAUK DR",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290726776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 ASSEMBLY ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292013938",
"telephone_number": "803-212-7016"
}
],
"practiceLocations": [
{
"address_1": "1903 S Lake Dr",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "SC",
"postal_code": "290737760",
"country_code": "US",
"telephone_number": "803-356-1001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CABOT",
"first_name": "KAITLYN",
"middle_name": "ROSSER",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-29",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "14182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.