Individual provider Active NPI

Katelyn S Roy, PHARM D.

  • Pharmacist
  • Merrimack, NH
National Provider Identifier
1285987362
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3832 Issued in NH
Practice address
615 Daniel Webster Hwy
Merrimack
Merrimack, NH 03054-2754
Phone
(603) 423-9330
NPI assigned
Oct 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3832 NH Primary

Addresses

Primary practice location

615 Daniel Webster Hwy
Merrimack
Merrimack, NH 03054-2754

Mailing address

615 Daniel Webster Hwy
Merrimack
Merrimack, NH 03054-2754
Phone (603) 423-9330

Other names 1

  • Katelyn T Souza Former name

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

State licenses

LicenseStateTypeSpecialty
3832NHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co PastSince Feb 27, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1285987362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 DANIEL WEBSTER HWY",
            "address_2": "MERRIMACK",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030542754",
            "telephone_number": "603-423-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 DANIEL WEBSTER HWY",
            "address_2": "MERRIMACK",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030542754",
            "telephone_number": "603-423-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "KATELYN",
        "middle_name": "S",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "3832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "SOUZA",
            "middle_name": "T",
            "credential": "PHARM D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Merrimack, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.