Katheryn Louise Dyer, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

03-1-29522 Issued in OH

Practice address

3069 Richlands Hwy
Jacksonville, NC 28540-2976

Phone

(910) 219-0490

Fax

(910) 219-0496

NPI assigned

Sep 28, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Jacksonville, NC
  • NPI 1013229517
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1265716013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 RACINE DR",
            "address_2": "STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038777",
            "telephone_number": "910-784-9545",
            "fax_number": "910-784-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3069 RICHLANDS HWY",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285402976",
            "telephone_number": "910-219-0490",
            "fax_number": "910-219-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "KATHERYN",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-1-29522",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "21671",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "63242",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Dunnigan, PMHNP-BC
• Madison Elizabeth Duran
• Shirby Durant, LCSWA, LCASA
• Amanda Elmore Durham, LPC, LCAS-A
• Molly Caitlin Durham, DC
• Nakia Dyer
• Catherine Lyndsay Dyson, DDS
• East Carolina Brace & Limb Co., Inc.
• East Carolina Gastroenterology Endoscopy Center
• East Carolina Gastroenterology Endoscopy Center Inc

• All providers in Jacksonville, NC
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.