Active NPI
Katherine E Iltis, PHARMD.
- Pharmacist
- Austin, TX
National Provider Identifier
1790122109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 51957
- Practice address
- 2525 W Anderson LN
BLDG 2
Austin, TX 78757-1180 - Phone
- (210) 355-2956
- NPI assigned
- May 24, 2013
- Last updated
- May 24, 2013
- 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 | 51957 | TX | Primary |
Addresses
Primary practice location
2525 W Anderson LN
BLDG 2
Austin, TX 78757-1180
Mailing address
6910 Hart LN
#803
Austin, TX 78731-4150
Phone (210) 355-2956
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 |
|---|---|---|---|
| 51957 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369353600000",
"number": "1790122109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6910 HART LN",
"address_2": "#803",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314150",
"telephone_number": "210-355-2956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 W ANDERSON LN",
"address_2": "BLDG 2",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787571180",
"telephone_number": "210-355-2956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILTIS",
"first_name": "KATHERINE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-24",
"last_updated": "2013-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "51957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.