Individual provider Active NPI

Kaitlyn Ross, PHARMD

  • Pharmacist
  • Burbank, CA
National Provider Identifier
1922563238
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
78102 Issued in CA
Practice address
1301 N Victory PL
Burbank, CA 91502-1649
Phone
(747) 261-7243
NPI assigned
Jan 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 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 78102 CA Primary

Addresses

Primary practice location

1301 N Victory PL
Burbank, CA 91502-1649

Mailing address

1301 N Victory PL
Burbank, CA 91502-1649
Phone (747) 261-7243

Other practice location 1

1076 West Kern Street
Taft, CA 93268
Phone (661) 763-3132

Other practice location 2

300 N Canon Dr
Beverly Hills, CA 90210-4705
Phone (310) 273-3561

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

LicenseStateTypeSpecialty
78102CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc PastSince Jul 1, 2020 Accepting new patients
Thrifty Payless Inc PastSince Jul 1, 2020 Accepting new patients
Thrifty Payless Inc Past Accepting new patients

Organizations & group practices 3

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": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1922563238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N VICTORY PL",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021649",
            "telephone_number": "747-261-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N VICTORY PL",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021649",
            "telephone_number": "747-261-7243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1076 West Kern Street",
            "address_purpose": "LOCATION",
            "city": "Taft",
            "state": "CA",
            "postal_code": "93268",
            "country_code": "US",
            "telephone_number": "661-763-3132",
            "fax_number": "661-763-5747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 N Canon Dr",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902104705",
            "country_code": "US",
            "telephone_number": "310-273-3561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "KAITLYN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "78102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

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