Individual provider Active NPI

Katherine Erika Cantu, PHARMACIST D

  • Pharmacist
  • Orange Cove, CA
National Provider Identifier
1578150710
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
52555 Issued in CA
Practice address
445 11TH St
Orange Cove, CA 93646-2211
Phone
(559) 626-4031
NPI assigned
Dec 22, 2020
Last updated
Dec 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 52555 CA Primary

Addresses

Primary practice location

445 11TH St
Orange Cove, CA 93646-2211

Mailing address

19539 E South Ave
Reedley, CA 93654-9634
Phone (550) 305-5376

Other names 1

  • Katherine Erika Goertzen Former name

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

LicenseStateTypeSpecialty
52555CAMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1578150710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19539 E SOUTH AVE",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936549634",
            "telephone_number": "550-305-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 11TH ST",
            "city": "ORANGE COVE",
            "state": "CA",
            "postal_code": "936462211",
            "telephone_number": "559-626-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTU",
        "first_name": "KATHERINE",
        "middle_name": "ERIKA",
        "name_prefix": "Dr.",
        "credential": "PHARMACIST D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "52555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "GOERTZEN",
            "middle_name": "ERIKA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orange Cove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.