Katelyn Shelby McCourt, PHARMD, RPH
Individual provider Active NPI Pharmacist · Brookville, OH
NPI 1992376644 · NPPES record last updated Jul 5, 2021
Key facts
- NPI
- 1992376644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03440705 (OH)
- Practice address
- 437 N Wolf Creek St
Brookville, OH 45309-1214 - Phone
- (937) 833-2174
- NPI assigned
- Jul 5, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03440705 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Ohio Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03440705 | OH | Yes |
Addresses
Primary practice location
437 N Wolf Creek St
Brookville, OH 45309-1214
Mailing address
437 N Wolf Creek St
Brookville, OH 45309-1214
Phone (937) 833-2174
Other providers in Brookville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.