Active NPI
Katelyn Elizabeth Ylitalo, PHARM. D
- Pharmacist
- Elizabeth City, NC
National Provider Identifier
1568718773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 34251
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2032 | AK | MD | Pharmacist |
| PS50522 | FL | MD | Pharmacist |
| 055715 | NY | MD | Pharmacist |
| 61173890 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Pharmacies Inc Long Beach Pharmacy Annex | Current | 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.
-
dba Peninsula Compounding
- Compounding Pharmacy
- Long Beach, WA
- NPI 1063048197
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.