Individual provider Active NPI

Katina Burris Graham, PHARM.D.

  • Pharmacist
  • Belmont, NC
National Provider Identifier
1679867303
Registry record updated May 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15299 Issued in NC
Practice address
6507 W Wilkinson Blvd
Belmont, NC 28012-2891
Phone
(704) 825-3958
Fax
(704) 825-5692
NPI assigned
May 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15299 NC Primary

Addresses

Primary practice location

6507 W Wilkinson Blvd
Belmont, NC 28012-2891

Mailing address

6507 W Wilkinson Blvd
Belmont, NC 28012-2891
Phone (704) 825-3958

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
15299NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1306540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306540800000",
    "number": "1679867303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 W WILKINSON BLVD",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280122891",
            "telephone_number": "704-825-3958",
            "fax_number": "704-825-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 W WILKINSON BLVD",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280122891",
            "telephone_number": "704-825-3958",
            "fax_number": "704-825-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "KATINA",
        "middle_name": "BURRIS",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-28",
        "last_updated": "2011-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "15299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2011; 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.