Individual provider Active NPI

Cathy T King Clarett, RPH

  • Pharmacist
  • Gary, IN
National Provider Identifier
1952594665
Registry record updated Aug 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26013807A Issued in IN
Practice address
825 S Lake St
Gary, IN 46403-2918
Phone
(219) 938-4857
NPI assigned
Aug 26, 2007
Last updated
Aug 26, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26013807A IN Primary

Addresses

Primary practice location

825 S Lake St
Gary, IN 46403-2918

Mailing address

11061 Deer Creek Dr
Crown Point, IN 46307-7141
Phone (219) 663-2380

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
26013807AINMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188086400000",
    "number": "1952594665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11061 DEER CREEK DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077141",
            "telephone_number": "219-663-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 S LAKE ST",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464032918",
            "telephone_number": "219-938-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING CLARETT",
        "first_name": "CATHY",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-26",
        "last_updated": "2007-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26013807A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2007; 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.