Individual provider Active NPI

Katelyn Elizabeth Ylitalo, PHARM. D

  • Pharmacist
  • Elizabeth City, NC
National Provider Identifier
1568718773
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
34251 Issued in NC
Practice address
101 Tanglewood Pkwy N
Elizabeth City, NC 27909-7788
Phone
(252) 338-2354
NPI assigned
Jul 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 61173890 WA
Pharmacist 183500000X 34251 NC Primary
Pharmacist 183500000X 2032 AK
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 61173890 WA
Pharmacist 183500000X PS50522 FL
Pharmacist 183500000X 055715 NY

Addresses

Primary practice location

101 Tanglewood Pkwy N
Elizabeth City, NC 27909-7788

Mailing address

101 Tanglewood Pkwy N
Elizabeth City, NC 27909-7788

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

LicenseStateTypeSpecialty
2032AKMDPharmacist
PS50522FLMDPharmacist
055715NYMDPharmacist
61173890WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Pharmacies Inc Long Beach Pharmacy Annex CurrentSince Jul 24, 2022 Accepting new patients

Locations

110 Oregon Ave S
Long Beach, WA 98631
Phone (360) 642-1250

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1568718773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TANGLEWOOD PKWY N",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TANGLEWOOD PKWY N",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097788",
            "telephone_number": "252-338-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YLITALO",
        "first_name": "KATELYN",
        "middle_name": "ELIZABETH",
        "credential": "PHARM. D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "61173890",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "34251",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AK",
            "license": "2032",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WA",
            "license": "61173890",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS50522",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "055715",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.