Katherine E Bell
Individual provider Active NPI Pharmacist · Tate, GA
NPI 1619245669 · NPPES record last updated Sep 23, 2019
Key facts
- NPI
- 1619245669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH 60237471 (WA)
- Practice address
- 4875A Hwy 53 East
Tate, GA 30177-3017 - Phone
- (678) 454-2300
- Fax
- (678) 454-2301
- NPI assigned
- Dec 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH030513 | GA | MD | Diabetes Educator Registered Nurse |
| PH 60237471 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bells Family Pharmacy, LLC | Diabetes Educator | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | RPH030513 | GA | |
| Pharmacist | 183500000X | PH 60237471 | WA | Yes |
Addresses
Primary practice location
4875A Hwy 53 East
Tate, GA 30177-3017
Mailing address
PO Box 75
Tate, GA 30177-0075
Phone (678) 454-2300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH 60237471 | Other | WA | PHARMACY LICENSE |
Other providers in Tate, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2019. 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.