Catherine Irene Kovacik, PHARM. D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

050461 Issued in NY

Practice address

135 Fairgrounds Memorial Pkwy
Ithaca, NY 14850-5362

Phone

(072) 778-1266

NPI assigned

Oct 19, 2007

Last updated

Jul 25, 2023By 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 names 1

• Catherine I Winter Former name

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": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1679762231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 FAIRGROUNDS MEMORIAL PKWY",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505362",
            "telephone_number": "607-277-8126",
            "fax_number": "607-277-8613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 FAIRGROUNDS MEMORIAL PKWY",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505362",
            "telephone_number": "072-778-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVACIK",
        "first_name": "CATHERINE",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "WINTER",
            "middle_name": "I",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pharmacist in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.