Katherine Abigail Burleson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

30719 Issued in NC

Practice address

101 Main St E
Locust, NC 28097-9723

Phone

(704) 888-6650

NPI assigned

Aug 5, 2021

Last updated

Jan 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Katherine Abigail Gooch Former name

Electronic endpoints 1

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": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1629742291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5449 COPLEY RD",
            "city": "STANFIELD",
            "state": "NC",
            "postal_code": "281637642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MAIN ST E",
            "city": "LOCUST",
            "state": "NC",
            "postal_code": "280979723",
            "telephone_number": "704-888-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLESON",
        "first_name": "KATHERINE",
        "middle_name": "ABIGAIL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "30719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBOP PHARMACIST LICENSE",
            "identifier": "30719",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "abby.gooch@cvshealth.org",
            "affiliation": "N",
            "address_1": "101 Main St E",
            "city": "Locust",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280979723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "GOOCH",
            "middle_name": "ABIGAIL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jason F Baker, DDS
• Eric Beamon
• Mimi Austin Braunsberg, CCC-SLP
• Summer Brosseau
• Jonathan Brune, D.M.D
• Chimere R Callaway, DDS
• Carolinas Physicians Network Inc (Atrium Health Primary Care Cabarrus Family Medicine)
• Carolinas Physicians Network, Inc. (Locust Medical Services)
• Samantha Church, M.S, CCC-SLP
• Clinical and Consulting Solutions PLLC

• Pharmacist in Locust, NC
• Providers in Locust, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.