Individual provider Active NPI

Catherine Lynn Denner, PHARM.D.

  • Pharmacist
  • Canton, GA
National Provider Identifier
1962059378
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH019936 Issued in GA
Practice address
330 Oak Hill LN
Canton, GA 30115-5433
Phone
(678) 551-2499
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH019936 GA Primary

Addresses

Primary practice location

330 Oak Hill LN
Canton, GA 30115-5433

Mailing address

330 Oak Hill LN
Canton, GA 30115-5433
Phone (678) 551-2499

Other identifiers 1

IdentifierTypeStateIssuer
1MedicaidGA

Other names 1

  • Dr. Catherine Lynn Ledbetter Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL cdjdenner@gmail.com

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
RPH019936GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1962059378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 OAK HILL LN",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301155433",
            "telephone_number": "678-551-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 OAK HILL LN",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301155433",
            "telephone_number": "678-551-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNER",
        "first_name": "CATHERINE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH019936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cdjdenner@gmail.com",
            "affiliation": "N",
            "address_1": "330 Oak Hill Ln",
            "city": "Canton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301155433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "LEDBETTER",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "PHARM.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.