Active NPI
Catherine Ann Widrick, RPH
- Pharmacist
- Liverpool, NY
National Provider Identifier
1871761767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 043850
- Practice address
- 4979 W Taft Rd
Attn: Pharmacy Manager
Liverpool, NY 13088-4811 - Phone
- (315) 457-0700
- Fax
- (315) 451-5744
- NPI assigned
- Feb 14, 2008
- Last updated
- Jan 10, 2023
- 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 | 043850 | NY | Primary |
Addresses
Primary practice location
4979 W Taft Rd
Attn: Pharmacy Manager
Liverpool, NY 13088-4811
Mailing address
1500 Brooks Ave
Attn: Pharmacy Manager
Rochester, NY 14624-3512
Phone (585) 239-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043850 | Other | NY | PHARMACIST LICENSE |
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 |
|---|---|---|---|
| 043850 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wegmans Food Markets, Inc. | Past | Accepting new patients | |
| Wegmans Food Markets, Inc. | Past | Accepting new patients |
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, 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": "1202947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1871761767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 BROOKS AVE",
"address_2": "ATTN: PHARMACY MANAGER",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146243512",
"telephone_number": "585-239-2020",
"fax_number": "585-239-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4979 W TAFT RD",
"address_2": "ATTN: PHARMACY MANAGER",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130884811",
"telephone_number": "315-457-0700",
"fax_number": "315-451-5744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIDRICK",
"first_name": "CATHERINE",
"middle_name": "ANN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-14",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "043850",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "043850",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Liverpool, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.