Active NPI
Katherine Alicia Thaut, R.PH.
- Pharmacist
- Windsor Heights, IA
National Provider Identifier
1801915517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19119
- Practice address
- 7101 University Ave
Windsor Heights, IA 50311-1436 - Phone
- (515) 279-9648
- Fax
- (515) 279-9691
- NPI assigned
- Mar 27, 2007
- 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 | 19119 | IA | Primary |
Addresses
Primary practice location
7101 University Ave
Windsor Heights, IA 50311-1436
Mailing address
917 SE 8TH St
Ankeny, IA 50021-3652
Phone (515) 963-0069
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19119 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801915517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 SE 8TH ST",
"city": "ANKENY",
"state": "IA",
"postal_code": "500213652",
"telephone_number": "515-963-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7101 UNIVERSITY AVE",
"city": "WINDSOR HEIGHTS",
"state": "IA",
"postal_code": "503111436",
"telephone_number": "515-279-9648",
"fax_number": "515-279-9691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAUT",
"first_name": "KATHERINE",
"middle_name": "ALICIA",
"name_prefix": "Mrs.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "19119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windsor Heights, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.