Individual provider Active NPI

Katy Doubek, PHARMD

  • Pharmacist
  • Arnold, MO
National Provider Identifier
1790397354
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2017028150 Issued in MO
Practice address
3937 Vogel Rd
Arnold, MO 63010
Phone
(636) 282-7068
Fax
(636) 282-7032
NPI assigned
Aug 17, 2020
Last updated
Sep 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2017028150 MO Primary

Addresses

Primary practice location

3937 Vogel Rd
Arnold, MO 63010

Mailing address

14805 N Outer 40 Rd Ste 140
Chesterfield, MO 63017-6060
Phone (636) 733-7333

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
2017028150MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Corum Health Services, Inc. CurrentSince Sep 11, 2022 Accepting new patients

Locations

14805 North Outer 40 Rd
Ste 140
Chesterfield, MO 63017
Phone (636) 733-7300

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1790397354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14805 N OUTER 40 RD STE 140",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630176060",
            "telephone_number": "636-733-7333",
            "fax_number": "636-733-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3937 VOGEL RD",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "63010",
            "telephone_number": "636-282-7068",
            "fax_number": "636-282-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUBEK",
        "first_name": "KATY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2017028150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.