Katie Callahan, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

21121 Issued in IA

Practice address

2834 Ansborough Ave
Waterloo, IA 50701-4418

Phone

(319) 226-3514

NPI assigned

Dec 25, 2019

Last updated

Dec 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1577232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577232000000",
    "number": "1518506401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4562 WINGHAVEN DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507019738",
            "telephone_number": "563-564-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2834 ANSBOROUGH AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014418",
            "telephone_number": "319-226-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "KATIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-25",
        "last_updated": "2019-12-25",
        "certification_date": "2019-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "21121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Care Initiatives (Northcrest Specialty Care)
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• Pharmacist in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Pharmacist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2019; 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.