Katherine Amanda Fox
Individual provider Active NPI Pharmacist · Tabernacle, NJ
NPI 1902401904 · NPPES record last updated Nov 30, 2020
Key facts
- NPI
- 1902401904
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI03584800 (NJ)
- Practice address
- 1497 Route 206
Tabernacle, NJ 08088-8885 - Phone
- (609) 268-0279
- Fax
- (609) 268-0694
- NPI assigned
- Nov 30, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03584800 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey CVS Pharmacy LLC | Past |
Accepting new patients | |
| New Jersey CVS Pharmacy LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03584800 | NJ | Yes |
Addresses
Primary practice location
1497 Route 206
Tabernacle, NJ 08088-8885
Mailing address
1497 Route 206
Tabernacle, NJ 08088-8885
Phone (609) 268-0279
Other providers in Tabernacle, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.