Katie Wood, RPH
Individual provider Active NPI Pharmacist · Moravia, NY
NPI 1912379546 · NPPES record last updated Oct 22, 2015
Key facts
- NPI
- 1912379546
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 058222 (NY)
- Practice address
- 130 Main St
Moravia, NY 13118-3689 - Phone
- (315) 497-9600
- Fax
- (315) 497-9375
- NPI assigned
- Oct 22, 2015
- 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
- Credentials
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KPH Healthcare Services, Inc. | Past | Accepting new patients | |
| KPH Healthcare Services, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 058222 | NY | Yes |
Addresses
Primary practice location
130 Main St
Moravia, NY 13118-3689
Mailing address
130 Main St
Moravia, NY 13118-3689
Phone (315) 497-9600
Other providers in Moravia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2015. 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.