Active NPI
Katy Lynn Nowicki, PHARMD
- Pharmacist
- Windsor, MO
National Provider Identifier
1467898502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03499900
- Practice address
- 200 W Florence St
Windsor, MO 65360-1127 - Phone
- (660) 647-9921
- Fax
- (660) 647-3617
- NPI assigned
- May 16, 2013
- Last updated
- Jan 22, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 28RI03499900 | NJ | Primary |
| Pharmacist | 183500000X | 2013042211 | MO |
Addresses
Primary practice location
200 W Florence St
Windsor, MO 65360-1127
Mailing address
713 Deerbrook Cir Apt D
Knob Noster, MO 65336-1281
Phone (856) 745-0609
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2013042211 | MO | MD | Pharmacist |
| 28RI03499900 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Rolla, MO
- NPI 1558258632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390348800000",
"number": "1467898502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 DEERBROOK CIR APT D",
"city": "KNOB NOSTER",
"state": "MO",
"postal_code": "653361281",
"telephone_number": "856-745-0609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W FLORENCE ST",
"city": "WINDSOR",
"state": "MO",
"postal_code": "653601127",
"telephone_number": "660-647-9921",
"fax_number": "660-647-3617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWICKI",
"first_name": "KATY",
"middle_name": "LYNN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-16",
"last_updated": "2014-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03499900",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2013042211",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windsor, MO
- Merryfield Pharmacy Inc.
- Merryfield Pharmacy Inc.
- James William Merryfield, RPH
- Rebecca Sue Monroe, LPC
- Lori Jo Naber, R.D., L.D.
- Hector Ortiz-Marrero, PLP
- Pathways Psychiatric Hospital Inc (Royal Oaks Hospital)
- Pathways Psychiatric Hospital, Inc (Royal Oaks Hospital)
- Stephanie Pfautz, FNP
- Psychology 101, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.