Kaitlyn Kennedy Patterson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

029672 Issued in GA

Practice address

1909 US Highway 82 W Ste 11
Tifton, GA 31793-8213

Phone

(229) 256-2411

Fax

(229) 256-2488

NPI assigned

Dec 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Dogwood Pharmacy LLC

  • Community/Retail Pharmacy
  • Tifton, GA
  • NPI 1528581402
  NPD (past)
• Dogwood Pharmacy LTC

  • Long Term Care Pharmacy
  • Tifton, GA
  • NPI 1245799857
  NPD (past)

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1285221366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 US HIGHWAY 82 W STE 11",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317938213",
            "telephone_number": "229-256-2411",
            "fax_number": "229-256-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 US HIGHWAY 82 W STE 11",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317938213",
            "telephone_number": "229-256-2411",
            "fax_number": "229-256-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "KAITLYN",
        "middle_name": "KENNEDY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "029672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "029672",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rubal Patel, M.D.
• Shantu Nagin Patel, MD
• Vishal Bhupendra Patel, MD
• Zinkal Patel
• Jessica L Patrick, NP-C
• Moritza Sade Paulhill, FNP
• Ansley Nicole Paulk
• Eric Michael Paulk
• Jacob Paulk, CRNA
• Kayla Paulk

• Pharmacist in Tifton, GA
• Providers in Tifton, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.