Katie Chezick, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

119328 Issued in MN

Practice address

1400 Highway 71
Rainy Lake Medical Center
International Falls, MN 56649-2154

Phone

(218) 283-7872

Fax

(218) 283-9814

NPI assigned

Jul 28, 2008

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

• Katie Hiscock Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1417112582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HIGHWAY 71",
            "address_2": "RAINY LAKE MEDICAL CENTER",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "566492154",
            "telephone_number": "218-283-7872",
            "fax_number": "218-283-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HIGHWAY 71",
            "address_2": "RAINY LAKE MEDICAL CENTER",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "566492154",
            "telephone_number": "218-283-7872",
            "fax_number": "218-283-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEZICK",
        "first_name": "KATIE",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "119328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "HISCOCK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pharmacist in International Falls, MN
• Providers in International Falls, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.