Katherine L Antoniades, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

020793 Issued in GA

Practice address

4880 Lower Roswell Rd
Marietta, GA 30068-4375

Phone

(770) 971-8661

NPI assigned

Oct 21, 2020

Last updated

Oct 21, 2020By the provider in NPPES

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 names 1

• Katherine Lalas Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1306445382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2759 THOMASHIRE TRCE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664783",
            "telephone_number": "864-593-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 LOWER ROSWELL RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684375",
            "telephone_number": "770-971-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONIADES",
        "first_name": "KATHERINE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "GA",
            "license": "020793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "LALAS",
            "credential": "PHARMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anodyne Pain Group of North Georgia LLC (Anodyne Pain and Wellness Solutions)
• Adil M Ansari, MD
• Lacey Ante, PA-C
• Roxanne Camille Edwards Anthony, PA-C
• Stephanie Michelle Antoline, D.C.
• Richard Lawrence Antonio, M.D.
• Antrobus Consulting, LLC
• Elise Antrobus, LCSW
• Anu Ravikanth MD LLC Dba-Internal Medicine of Marietta (Internal Medicine Of Marietta)
• Anxiety and Stress Management Institute LLC (The Anxiety & Stress Management Institute)

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Marietta, GA
• Providers in Marietta, GA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.