Active NPI
Katherine Phan, PHARMD
- Pharmacist
- Charlotte, NC
National Provider Identifier
1275008450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 79525
- Practice address
- 4015 Shopton Rd Ste 600
Charlotte, NC 28217-3025 - Phone
- (855) 427-4682
- NPI assigned
- Oct 4, 2018
- Last updated
- Jun 7, 2023
- 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 | 79525 | CA | Primary |
Addresses
Primary practice location
4015 Shopton Rd Ste 600
Charlotte, NC 28217-3025
Mailing address
240 Cultivate
Irvine, CA 92618-1029
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
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | 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.
-
dba Rite Aid Pharmacy 06833
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1275008450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 CULTIVATE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926181029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 SHOPTON RD STE 600",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282173025",
"telephone_number": "855-427-4682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "KATHERINE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-04",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "79525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
- Mien Hac Pham, PHARM.D.
- Mimi Lan Pham, PHARMD, MBA, MS
- Oanh Hoang Pham, RPH,MPH
- Thuthao T Pham, PHARMACIST
- Tuan Hoai Pham, M.D., PHD
- Pharma Carolina (CareFirst Specialty Pharmacy)
- Pharmaceutical Specialties Inc (Pharmacuatical Specialtie NC)
- Pharmacy Corporation of America (PharMerica)
- Ashley Danielle Pharr, LCSW
- Bowanna Pharr, LCSWA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.