Katelyn Alanna Wisdom, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-0013311 Issued in OR

Practice address

808 W Main St Ste 101
Battle Ground, WA 98604-9136

Phone

(360) 687-5133

NPI assigned

Sep 13, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Battle Ground, WA
  • NPI 1730194721
  NPD

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671235200000",
    "number": "1649520099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 W MAIN ST STE 101",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986049136",
            "telephone_number": "360-687-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 W MAIN ST STE 101",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986049136",
            "telephone_number": "360-687-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISDOM",
        "first_name": "KATELYN",
        "middle_name": "ALANNA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2022-12-17",
        "certification_date": "2022-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0013311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Matthew Williams, D.C
• Samantha Williams
• Cory Mick Williamson, RN
• Brett Windsor, PT
• Winfield Counseling LLC
• Kimberly Yvonne Wolfe, MSW
• Jasmine Carlen Wood, LMHC, LPC
• Angela Irene Wright
• Wynter Ostlund Massage Therapy
• Margaret Mackenzie Yahn, DMD

• Pharmacist in Battle Ground, WA
• Providers in Battle Ground, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.