Kathryn Fogle, PHARMD
Individual provider Active NPI Pharmacist · Moon TWP, PA
NPI 1598076697 · NPPES record last updated Jan 14, 2012
Key facts
- NPI
- 1598076697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP437771 (PA)
- Practice address
- 5990 University Blvd
Suite 30
Moon TWP, PA 15108-4229 - Phone
- (412) 262-2161
- NPI assigned
- Jun 24, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP437771 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrift Drug Inc | Past | Accepting new patients | |
| Thrift Drug Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP437771 | PA | Yes |
Addresses
Primary practice location
5990 University Blvd
Suite 30
Moon TWP, PA 15108-4229
Mailing address
5990 University Blvd
Suite 30
Moon TWP, PA 15108-4229
Phone (412) 262-2161
Other providers in Moon TWP, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.