Active NPI
Katherine Elizabeth Busque, PHARMD
- Pharmacist
- Kissimmee, FL
National Provider Identifier
1982481396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS66154
- Practice address
- 1999 E Osceola Pkwy
Kissimmee, FL 34743-8601 - Phone
- (407) 344-3000
- NPI assigned
- Sep 11, 2023
- Last updated
- Sep 11, 2023
- Sex
- Female
- Sole proprietor
- No
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 | PS66154 | FL | Primary |
Addresses
Primary practice location
1999 E Osceola Pkwy
Kissimmee, FL 34743-8601
Mailing address
12901 Lower River Blvd
Orlando, FL 32828-9009
Phone (941) 662-5186
Other names 1
- Katherine Elizabeth Wiley
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 |
|---|---|---|---|
| PS66154 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Past | Accepting new patients | |
| Holiday CVS L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
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": "1694390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1982481396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12901 LOWER RIVER BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328289009",
"telephone_number": "941-662-5186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1999 E OSCEOLA PKWY",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347438601",
"telephone_number": "407-344-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSQUE",
"first_name": "KATHERINE",
"middle_name": "ELIZABETH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-11",
"last_updated": "2023-09-11",
"certification_date": "2023-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS66154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "WILEY",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.