Active NPI
Nicholas Katra, PHARMD
- Pharmacist
- Paoli, PA
National Provider Identifier
1700426319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP439627
- Practice address
- 1564 E Lancaster Ave
Paoli, PA 19301-1505 - Phone
- (610) 644-3880
- NPI assigned
- Jan 11, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP439627 | PA | Primary |
Addresses
Primary practice location
1564 E Lancaster Ave
Paoli, PA 19301-1505
Mailing address
157 Carson St
Philadelphia, PA 19127-1332
Phone (215) 460-0213
Other practice location 1
165 Nutt Rd
Phoenixville, PA 19460-3999
Phone (610) 933-2609
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP439627 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paoli Pharmacy Inc. | Current | Accepting new patients | |
| Victus Health and Wellness Inc | Current | Accepting new patients | |
| Paoli Pharmacy Inc. | Current | Accepting new patients |
Locations
1564 Lancaster Ave
Paoli, PA 19301
Phone (610) 644-3147
Organizations & group practices 3
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.
-
- Long Term Care Pharmacy
- Paoli, PA
- NPI 1063073062
-
- Clinic/Center
- Phoenixville, PA
- NPI 1982185138
-
- Community/Retail Pharmacy
- Paoli, PA
- NPI 1003867045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578700800000",
"number": "1700426319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 CARSON ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191271332",
"telephone_number": "215-460-0213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1564 E LANCASTER AVE",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011505",
"telephone_number": "610-644-3880"
}
],
"practiceLocations": [
{
"address_1": "165 Nutt Rd",
"address_purpose": "LOCATION",
"city": "Phoenixville",
"state": "PA",
"postal_code": "194603999",
"country_code": "US",
"telephone_number": "610-933-2609",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KATRA",
"first_name": "NICHOLAS",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-11",
"last_updated": "2020-01-11",
"certification_date": "2020-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP439627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.