Katie Demann, PHARMD
Individual provider Active NPI Pharmacist · Dorr, MI
NPI 1639761489 · NPPES record last updated Feb 3, 2021
Key facts
- NPI
- 1639761489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302034323 (MI)
- Practice address
- 1730 142ND Ave
Dorr, MI 49323-9434 - Phone
- (616) 681-9947
- NPI assigned
- Feb 3, 2021
- 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 |
|---|---|---|---|
| 5302034323 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dorr Enterprises Inc | Current |
Accepting new patients | |
| Dorr Community Pharmacy Inc | Past |
Accepting new patients |
Locations
1730 142nd Ave
Dorr, MI 49323
Phone (616) 681-9947
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302034323 | MI | Yes |
Addresses
Primary practice location
1730 142ND Ave
Dorr, MI 49323-9434
Mailing address
1730 142ND Ave
Dorr, MI 49323-9434
Phone (616) 681-9947
Other providers in Dorr, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2021. 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.