Active NPI
Katelyn Brianne Shepard, PHARMD
- Pharmacist
- Coffeyville, KS
National Provider Identifier
1912679796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-103742
- Practice address
- 1863 5300 Rd
Coffeyville, KS 67337 - Phone
- (620) 251-4145
- NPI assigned
- Sep 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-103742 | KS | Primary |
Addresses
Primary practice location
1863 5300 Rd
Coffeyville, KS 67337
Mailing address
803 2ND St
Oswego, KS 67356-1206
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-103742 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1912679796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 2ND ST",
"city": "OSWEGO",
"state": "KS",
"postal_code": "673561206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1863 5300 RD",
"city": "COFFEYVILLE",
"state": "KS",
"postal_code": "67337",
"telephone_number": "620-251-4145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPARD",
"first_name": "KATELYN",
"middle_name": "BRIANNE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-30",
"last_updated": "2021-09-30",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-103742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coffeyville, KS
- Paul S Sandhu, M.D.
- Senior Healthcare, LLC
- Senior Services of Southeast Kansas Inc. (Senior Services of SEK, Inc.)
- Cole R Shawver
- Thaddeus Alton Shelton Jr., LMFT 03720
- Rylie Blaine Shoop, COTA
- Smith Therapeutic Inc (Echota Therapy)
- Smith Therpeutic (Echota Therapy)
- Becky Smith, LPC
- Evelyn V Smith, LSCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.