Katherine Boudreaux, PHARM. D.

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

21619 Issued in CO

Practice address

225 S Union Blvd
Colorado Springs, CO 80910-3184

Phone

(719) 344-6200

Fax

(719) 344-7829

NPI assigned

Nov 17, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Katie Boudreaux Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1598747206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7955 TOMPKINS RD",
            "city": "FALCON",
            "state": "CO",
            "postal_code": "808316135",
            "telephone_number": "405-613-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S UNION BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103184",
            "telephone_number": "719-344-6200",
            "fax_number": "719-344-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDREAUX",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CO",
            "license": "21619",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "CO",
            "license": "21619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "BOUDREAUX",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ashleigh Rose Botts, LMT, CNMT
• Cydney Boubon, LMT, CNMT
• Kelley Elizabeth Smith Bouchard, NP-C
• Donya Joanne Boudeman, LPC
• Anthony Boudreau, AGPCNP
• Susan L Boudreaux, LMFT
• Boulder and the Pine Wellness
• Julia Boulton, LPC
• Mark Boulware, M.D.
• Boundless Compassion LLC

• Ambulatory Care Pharmacist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Ambulatory Care Pharmacist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.