Kathryn Erica Arvo Mackenzie, RPH, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH031004 Issued in GA

Practice address

5095 Mount Zion Pkwy
Stockbridge, GA 30281-7825

Phone

(770) 507-0576

NPI assigned

Feb 1, 2021

Last updated

Feb 1, 2021By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1518558592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5095 MOUNT ZION PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817825",
            "telephone_number": "770-507-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5095 MOUNT ZION PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817825",
            "telephone_number": "770-507-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARVO MACKENZIE",
        "first_name": "KATHRYN",
        "middle_name": "ERICA",
        "credential": "RPH, PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH031004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.