Individual provider Active NPI

Kathryn Elizabeth McDonald, RPH

  • Pharmacist
  • North Conway, NH
National Provider Identifier
1639779259
Registry record updated Nov 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
R1365 Issued in NH
Practice address
46 N South Rd
North Conway, NH 03860-5122
Phone
(603) 356-3170
Fax
(603) 356-4133
NPI assigned
Nov 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X R1365 NH Primary

Addresses

Primary practice location

46 N South Rd
North Conway, NH 03860-5122

Mailing address

107 Foss Flats Rd
N Sandwich, NH 03259-3636
Phone (603) 520-8809

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL nps
CONNECT URL url

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
R1365NHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1604188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604188800000",
    "number": "1639779259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 FOSS FLATS RD",
            "city": "N SANDWICH",
            "state": "NH",
            "postal_code": "032593636",
            "telephone_number": "603-520-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 N SOUTH RD",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038605122",
            "telephone_number": "603-356-3170",
            "fax_number": "603-356-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-01",
        "last_updated": "2020-11-01",
        "certification_date": "2020-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "R1365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nps",
            "affiliation": "N",
            "address_1": "46 N South Rd",
            "city": "North Conway",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038605122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "url",
            "affiliation": "N",
            "address_1": "46 N South Rd",
            "city": "North Conway",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038605122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Conway, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2020; 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.