Active NPI
Kathryn M Graham, RPH
- Pharmacist
- Sacramento, CA
National Provider Identifier
1891218780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 62301
- Practice address
- 8364 Rovana Cir
Sacramento, CA 95828-2522 - Phone
- (626) 739-3048
- NPI assigned
- Jul 21, 2017
- 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 | 62301 | CA | Primary |
Addresses
Primary practice location
8364 Rovana Cir
Sacramento, CA 95828-2522
Mailing address
25850 N Graham Rd
Galt, CA 95632
Phone (209) 365-0642
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500595200000",
"number": "1891218780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25850 N GRAHAM RD",
"city": "GALT",
"state": "CA",
"postal_code": "95632",
"telephone_number": "209-365-0642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8364 ROVANA CIR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958282522",
"telephone_number": "626-739-3048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "KATHRYN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-21",
"last_updated": "2017-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "62301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.