Active NPI
Katelyn Vaughn, PHARM D
- Pharmacist
- El Dorado, AR
National Provider Identifier
1730694811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD14148
- Practice address
- 2135 N West Ave
El Dorado, AR 71730-3351 - Phone
- (870) 862-5458
- NPI assigned
- Dec 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | PD14148 | AR | Primary |
Addresses
Primary practice location
2135 N West Ave
El Dorado, AR 71730-3351
Mailing address
104 Maple Ridge Rd
El Dorado, AR 71730-5224
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 |
|---|---|---|---|
| PD14148 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1512950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512950400000",
"number": "1730694811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 MAPLE RIDGE RD",
"city": "EL DORADO",
"state": "AR",
"postal_code": "717305224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2135 N WEST AVE",
"city": "EL DORADO",
"state": "AR",
"postal_code": "717303351",
"telephone_number": "870-862-5458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "KATELYN",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-11",
"last_updated": "2017-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "AR",
"license": "PD14148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Dorado, AR
- United Methodist Behavioral Health System, Inc. (Methodist Counseling Clinic)
- University of Arkansas for Medical Sciences
- University of Arkansas for Medical Sciences
- Vamassey Medical Supply
- Lauren Van Ness
- Amie Vinson, APRN, FNP-C
- Eli Vinson, PHARM.D.
- Donald J Voelker, MD
- Wal-Mart Stores, Inc. (Vision Center 30-0530)
- Walgreen Co (Walgreens #10198)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.