Provider Demographics
NPI:1558128975
Name:ABBOT, KATHARINE ANNE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KATHARINE
Middle Name:ANNE
Last Name:ABBOT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:461 STATE ROUTE 146 APT 5-108
Mailing Address - Street 2:
Mailing Address - City:GUILDERLAND CENTER
Mailing Address - State:NY
Mailing Address - Zip Code:12085-9711
Mailing Address - Country:US
Mailing Address - Phone:518-309-8373
Mailing Address - Fax:
Practice Address - Street 1:220 WASHINGTON AVENUE EXT
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-5316
Practice Address - Country:US
Practice Address - Phone:518-264-4453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02022208191835P0018X
NY0713601835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist