Individual provider Active NPI

Katy Denise Bostic, PHARM D

  • Pharmacist
  • Camden, AR
National Provider Identifier
1801488226
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD09491 Issued in AR
Practice address
1286 Highway 278 Byp
Camden, AR 71701-4552
Phone
(870) 836-8132
Fax
(870) 836-9314
NPI assigned
Feb 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD09491 AR Primary

Addresses

Primary practice location

1286 Highway 278 Byp
Camden, AR 71701-4552

Mailing address

1286 Highway 278 Byp
Camden, AR 71701-4552
Phone (870) 836-8132

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
PD09491ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Morrisons Properties Inc CurrentSince Aug 25, 2024 Accepting new patients
Morrisons Properties Inc PastSince Feb 14, 2021 Accepting new patients

Locations

1286 Highway 278 Byp
Camden, AR 71701
Phone (870) 836-8131

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": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1801488226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1286 HIGHWAY 278 BYP",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717014552",
            "telephone_number": "870-836-8132",
            "fax_number": "870-836-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 HIGHWAY 278 BYP",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717014552",
            "telephone_number": "870-836-8132",
            "fax_number": "870-836-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTIC",
        "first_name": "KATY",
        "middle_name": "DENISE",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD09491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.