Active NPI
Kathleen Mary Lehault, PHARM.D
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- West Point, NY
National Provider Identifier
1295047264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 63238
- Practice address
- 900 Washington Rd
West Point, NY 10996-1109 - Phone
- (845) 938-4114
- Fax
- (845) 938-1120
- NPI assigned
- Jul 7, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 63238 | CA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 63238 | CA | Primary |
Addresses
Primary practice location
900 Washington Rd
West Point, NY 10996-1109
Mailing address
4 W Lake Rd
Warwick, NY 10990-2605
Phone (714) 475-9458
Other names 1
- Dr. Kathleen Mary Bolan
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1295047264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 W LAKE RD",
"city": "WARWICK",
"state": "NY",
"postal_code": "109902605",
"telephone_number": "714-475-9458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 WASHINGTON RD",
"city": "WEST POINT",
"state": "NY",
"postal_code": "109961109",
"telephone_number": "845-938-4114",
"fax_number": "845-938-1120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEHAULT",
"first_name": "KATHLEEN",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-07",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "63238",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "63238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "BOLAN",
"middle_name": "MARY",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.