Active NPI
Katherine Chatupornpitak
- Pharmacist
- Glendora, CA
National Provider Identifier
1548539869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 62940
- Practice address
- 550 S Grand Ave
Glendora, CA 91741-4211 - Phone
- (626) 857-0633
- NPI assigned
- Dec 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 62940 | CA | Primary |
Addresses
Primary practice location
550 S Grand Ave
Glendora, CA 91741-4211
Mailing address
4968 Harriman Ave
South Pasadena, CA 91030-4016
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62940 | CA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323820800000",
"number": "1548539869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4968 HARRIMAN AVE",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910304016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S GRAND AVE",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917414211",
"telephone_number": "626-857-0633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHATUPORNPITAK",
"first_name": "KATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-14",
"last_updated": "2011-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "62940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.