Individual provider Active NPI

Cato Jeanette Badenhorst, RPH

  • Pharmacist
  • North Bend, OR
National Provider Identifier
1699066936
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH-0011753 Issued in OR
Practice address
2040 Broadway St
North Bend, OR 97459-2328
Phone
(541) 756-7531
Fax
(541) 756-4136
NPI assigned
Apr 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 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 RPH-0011753 OR Primary

Addresses

Primary practice location

2040 Broadway St
North Bend, OR 97459-2328

Mailing address

888 Vermont St
Apt 2C
North Bend, OR 97459-3334
Phone (541) 756-6713

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
RPH-0011753ORMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1699066936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 VERMONT ST",
            "address_2": "APT 2C",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974593334",
            "telephone_number": "541-756-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 BROADWAY ST",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592328",
            "telephone_number": "541-756-7531",
            "fax_number": "541-756-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADENHORST",
        "first_name": "CATO",
        "middle_name": "JEANETTE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0011753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.