Individual provider Active NPI

Nicholas Katra, PHARMD

  • Pharmacist
  • Paoli, PA
National Provider Identifier
1700426319
Registry record updated Jan 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP439627 Issued in PA
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

Updated by the provider on Jan 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RP439627PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.