DR. KATHY BERDECIA DOANE PHARMD RPH RDN NPI 1407996713

NPI Information

NPI: 1407996713
Provider Name: DR. KATHY BERDECIA DOANE, PHARMD, RPH, RDN
Classification: Pharmacist - 1835P0018X
Entity Type: Individual

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
1128 S PARK ST
CARROLLTON, GA
ZIP 30117
Phone: (770) 836-0770
Get Directions

DR. Kathy Berdecia Doane, PHARMD, RPH, RDN is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Carrollton, GA. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. DR. Kathy Berdecia Doane, PHARMD, RPH, RDN NPI is 1407996713. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1128 S PARK ST
CARROLLTON, GA
ZIP 30117-450
Phone: (770) 836-0770

The enumeration date for this NPI number is 2/7/2007 and was last updated on 4/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133N00000X	Nutritionist		1443	PUERTO RICO	No
2	133NN1002X	Nutritionist	Nutrition, Education	1443	PUERTO RICO	No
3	133V00000X	Dietitian, Registered		2762	MASSACHUSETTS	No
4	183500000X	Pharmacist		236242	MASSACHUSETTS	No
5	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	RPH034170	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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