NPIMap

Individual provider Active NPI

Katrina Herrera Delgado, PHARMD

  • Pharmacist
  • Winston Salem, NC
National Provider Identifier
1891240180
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
25836 Issued in NC
Practice address
10478 N NC Highway 109
Winston Salem, NC 27107-9634
Phone
(336) 769-0872
Fax
(336) 769-4726
NPI assigned
Aug 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 25836 NC Primary

Addresses

Primary practice location

10478 N NC Highway 109
Winston Salem, NC 27107-9634

Mailing address

10478 N NC Highway 109
Winston Salem, NC 27107-9634
Phone (336) 769-0872

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
25836NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina CVS Pharmacy LLC Past Accepting new patients
South Carolina CVS Pharmacy LLC 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1891240180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10478 N NC HIGHWAY 109",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271079634",
            "telephone_number": "336-769-0872",
            "fax_number": "336-769-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10478 N NC HIGHWAY 109",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271079634",
            "telephone_number": "336-769-0872",
            "fax_number": "336-769-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "KATRINA",
        "middle_name": "HERRERA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "25836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.

Verify at the official NPI Registry.