Katie Anne Thackery, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

26023054A Issued in IN

Practice address

31 Metamora Rd
Brookville, IN 47012-1437

Phone

(765) 647-3533

Fax

(765) 647-0673

NPI assigned

Dec 5, 2020

Last updated

Dec 5, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1607126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607126400000",
    "number": "1780280891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 METAMORA RD",
            "city": "BROOKVILLE",
            "state": "IN",
            "postal_code": "470121437",
            "telephone_number": "765-647-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 METAMORA RD",
            "city": "BROOKVILLE",
            "state": "IN",
            "postal_code": "470121437",
            "telephone_number": "765-647-3533",
            "fax_number": "765-647-0673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Metamora Rd",
            "address_purpose": "LOCATION",
            "city": "Brookville",
            "state": "IN",
            "postal_code": "470121437",
            "country_code": "US",
            "telephone_number": "765-647-3533",
            "fax_number": "765-647-0673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THACKERY",
        "first_name": "KATIE",
        "middle_name": "ANNE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-05",
        "last_updated": "2020-12-05",
        "certification_date": "2020-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26023054A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Brookville, IN
• Providers in Brookville, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.