KTM Health Care Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

7359434-1703 Issued in UT

Legal business name

KTM HEALTH CARE INC

Doing business as

Enterprise Valley Pharmacy

Practice address

660 E Main St
Enterprise, UT 84725

Phone

(435) 878-2760

NPI assigned

Jun 12, 2009

Last updated

Jun 12, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Adam P Katschke, PHARMDNPI 1053344036

Title

President

Phone

(801) 592-1056

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Enterprise Valley Pharmacy Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adam Paul Katschke, DOCTOR OF PHARMACY

  • Pharmacist
  • Caliente, NV
  • NPI 1053344036
  Authorized official Same address or phone
• Ryan Steadman

  • Pharmacist
  • Enterprise, UT
  • NPI 1356574388
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1225265689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 761",
            "city": "CALIENTE",
            "state": "NV",
            "postal_code": "890080761",
            "telephone_number": "775-726-3771",
            "fax_number": "775-726-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 E MAIN ST",
            "city": "ENTERPRISE",
            "state": "UT",
            "postal_code": "84725",
            "telephone_number": "435-878-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KTM HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "KATSCHKE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-592-1056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "UT",
            "license": "7359434-1703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY LICENSE NUMBER",
            "identifier": "7359434-1703",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enterprise Valley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Gardner, PA-C
• Erin Grover, LCSW, TRS, CTRS, SEP
• Lexi Ann Hartley, RN, BSN, MSN, FNP-C
• Kody Keith Holt, FNP-C
• McKay Jones, ATC
• KTM Health Care Inc (Enterprise Valley Closed)
• Main Street Family Medicine PLLC
• Jackie Neilson
• Emily Preston, CLD
• Shelley Sanderson, APRN

• Community/Retail Pharmacy in Enterprise, UT
• Providers in Enterprise, UT by specialty
• Community/Retail Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; 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.