Kathlyn Landis Sallaz, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP0007817 Issued in WV

Practice address

1299 Robert C Byrd Dr.
Crab Orchard, WV 25827

Phone

(304) 253-7474

Fax

(304) 253-7495

NPI assigned

Sep 19, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Crab Orchard Pharmacy Inc

  • Community/Retail Pharmacy
  • Crab Orchard, WV
  • NPI 1619050754
  NPD (past)

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1891279576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276",
            "city": "CRAB ORCHARD",
            "state": "WV",
            "postal_code": "258270276",
            "telephone_number": "304-253-7474",
            "fax_number": "304-253-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 ROBERT C BYRD DR.",
            "city": "CRAB ORCHARD",
            "state": "WV",
            "postal_code": "25827",
            "telephone_number": "304-253-7474",
            "fax_number": "304-253-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLAZ",
        "first_name": "KATHLYN",
        "middle_name": "LANDIS",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0007817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1619050754",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Billy Price
• Prime Health Associates
• Prime Health Associates Dba
• Melissa Marie Riner, FNP
• Alison Roark
• Loretta Scott
• Michael Lawson Smith, DDS
• Doris Snuffer
• Maniya Stevens, BS
• Lauren Stuart, COTA/L

• Pharmacist in Crab Orchard, WV
• Providers in Crab Orchard, WV by specialty
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.