Active NPI
Kathleen Condo, PHARM.D.
- Pharmacist
- Kokomo, IN
National Provider Identifier
1740631688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26018620A
- Practice address
- 201 N Dixon Rd
Kokomo, IN 46901-4131 - Phone
- (765) 457-1191
- Fax
- (765) 868-3184
- NPI assigned
- Jun 22, 2016
- Sex
- Female
- 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 | 26018620A | IN | Primary |
Addresses
Primary practice location
201 N Dixon Rd
Kokomo, IN 46901-4131
Mailing address
4109 Honey Creek Blvd
Russiaville, IN 46979-9155
Phone (765) 883-8086
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 |
|---|---|---|---|
| 26018620A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466553600000",
"number": "1740631688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4109 HONEY CREEK BLVD",
"city": "RUSSIAVILLE",
"state": "IN",
"postal_code": "469799155",
"telephone_number": "765-883-8086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N DIXON RD",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469014131",
"telephone_number": "765-457-1191",
"fax_number": "765-868-3184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDO",
"first_name": "KATHLEEN",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-22",
"last_updated": "2016-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26018620A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.