Active NPI
Kathryn Antill
- Pharmacy Technician
- West Sacramento, CA
National Provider Identifier
1851843270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 11828
- Practice address
- 500 W Capitol Ave
West Sacramento, CA 95605-2624 - Phone
- (916) 403-2824
- NPI assigned
- Nov 2, 2016
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 11828 | CA | Primary |
Addresses
Primary practice location
500 W Capitol Ave
West Sacramento, CA 95605-2624
Mailing address
3983 Valley Vista Dr
Camino, CA 95709-9503
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11828 | CA | MD | Procedural Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478044800000",
"number": "1851843270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3983 VALLEY VISTA DR",
"city": "CAMINO",
"state": "CA",
"postal_code": "957099503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W CAPITOL AVE",
"city": "WEST SACRAMENTO",
"state": "CA",
"postal_code": "956052624",
"telephone_number": "916-403-2824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTILL",
"first_name": "KATHRYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-02",
"last_updated": "2016-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "11828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.