Katelyn Davidson, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

28RW04011200 Issued in NJ

Practice address

306 Broad St
Florence, NJ 08518-1912

Phone

(609) 499-0100

NPI assigned

Jan 19, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Boyds Pharmacy of Bordentown Inc

  • Community/Retail Pharmacy
  • Bordentown, NJ
  • NPI 1417968934
  NPD (past)
• Boyds Pharmacy of Florence Inc

  • Community/Retail Pharmacy
  • Florence, NJ
  • NPI 1508877028
  NPD (past)

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1295487569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 BROAD ST",
            "city": "FLORENCE",
            "state": "NJ",
            "postal_code": "085181912",
            "telephone_number": "609-499-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 BROAD ST",
            "city": "FLORENCE",
            "state": "NJ",
            "postal_code": "085181912",
            "telephone_number": "609-499-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Farnsworth Ave",
            "address_purpose": "LOCATION",
            "city": "Bordentown",
            "state": "NJ",
            "postal_code": "085051308",
            "country_code": "US",
            "telephone_number": "609-298-1811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "KATELYN",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "NJ",
            "license": "28RW04011200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominick Joseph Ciccone Jr.
• Oluyemisi Coker, D.PT
• Community Healthcare Systems
• Community Options Inc
• Melissa Daniels
• Kirsten Melissa Deluca, MA; LAC
• Lori Donnelly
• Peter Dorety
• Pamela Milhouse Enmond
• Florence Family Dental, PC

• Pharmacy Technician in Florence, NJ
• Providers in Florence, NJ by specialty
• Pharmacy Technician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.