DR. KATIE LYNN ANDRICOPULOS (NPI# 1760827729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760827729 |
| Entity Type | Individual |
| Full Name | DR. KATIE LYNN ANDRICOPULOS |
| Credential | PHARMD |
| Practice Address |
301 Hawthorne Ln Ste 100 Charlotte NC 28204 |
| Mailing Address |
800 Rose St Lexington KY 40536-0293 |
| Practice Telephone | 7043841900 |
| Practice Fax Number | 7043841919 |
| Enumeration Date | 2013-05-05 |
| Last Update Date | 2018-07-11 |
| NPI Deactivation Date | 06/25/2018 |
| NPI Reactivation Date | 2018-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0200X |
Pharmacist Specialization: Pediatrics |
24607 | NC | Pharmacy Service Providers |
| Street Address |
301 HAWTHORNE LN STE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265619423 | Courtney Carr | Nurse Practitioner | 301 Hawthorne Ln Ste 100, Charlotte, NC 28204-2467 | 2008-01-29 |
| 1922395649 | Jenny Kathleen Gober Mcdaniel | Pediatrics | 301 Hawthorne Ln Ste 100, Charlotte, NC 28204-2467 | 2011-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| Taxonomy Code | 1835P0200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pediatrics |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the delivery of patient care services by pharmacists that ensures the safe and effective use of medications for all children from neonates through adolescents. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [1/1/2016: new] |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.