Individual provider Active NPI

Katherine Elizabeth Vecchio, RPH

  • Pharmacist
  • Morgantown, WV
National Provider Identifier
1891357562
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP0011665 Issued in WV
Practice address
215 Don Knotts Blvd
Morgantown, WV 26501-0113
Phone
(304) 225-7979
NPI assigned
Jul 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP0011665 WV Primary

Addresses

Primary practice location

215 Don Knotts Blvd
Morgantown, WV 26501-0113

Mailing address

215 Don Knotts Blvd
Morgantown, WV 26501-0113
Phone (304) 225-7979

Other practice location 1

897 Chestnut Ridge Rd
Morgantown, WV 26505-2704
Phone (304) 598-2534

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL none
Other URL none
Other URL none

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

LicenseStateTypeSpecialty
RP0011665WVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Waterfront Urgent Care PLLC CurrentSince Apr 3, 2022 Accepting new patients
Waterfront Family Pharmacy LLC PastSince Apr 3, 2022 Accepting new patients

Locations

215 Don Knotts Blvd
Morgantown, WV 26501
Phone (304) 225-7979

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": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1891357562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 DON KNOTTS BLVD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265010113",
            "telephone_number": "304-225-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 DON KNOTTS BLVD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265010113",
            "telephone_number": "304-225-7979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "897 Chestnut Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265052704",
            "country_code": "US",
            "telephone_number": "304-598-2534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VECCHIO",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0011665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "none",
            "affiliation": "N",
            "address_1": "897 Chestnut Ridge Rd",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265052704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "none",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "897 Chestnut Ridge Rd",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265052704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "none",
            "affiliation": "N",
            "address_1": "897 Chestnut Ridge Rd",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265052704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.