Active NPI
Katrina Capalla-Gozon, PHARM.D.
- Pharmacist
- Virginia Beach, VA
National Provider Identifier
1942806054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202218786
- Practice address
- 801 Independence Blvd
Virginia Beach, VA 23455-6003 - Phone
- (757) 519-9877
- NPI assigned
- Dec 5, 2020
- Last updated
- Dec 5, 2020
- 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 | 0202218786 | VA | Primary |
Addresses
Primary practice location
801 Independence Blvd
Virginia Beach, VA 23455-6003
Mailing address
3920 Inspiration Arc Apt 308
Virginia Beach, VA 23462-7854
Phone (409) 926-7561
Other names 1
- Katrina Capalla
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 |
|---|---|---|---|
| 0202218786 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | 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": "1607126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607126400000",
"number": "1942806054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920 INSPIRATION ARC APT 308",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234627854",
"telephone_number": "409-926-7561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 INDEPENDENCE BLVD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234556003",
"telephone_number": "757-519-9877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPALLA-GOZON",
"first_name": "KATRINA",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-05",
"last_updated": "2020-12-05",
"certification_date": "2020-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202218786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATRINA",
"last_name": "CAPALLA",
"credential": "PHARM.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.