Healthcare Provider Details

I. General information

NPI: 1164031274
Provider Name (Legal Business Name): KATHARINE PRESCOTT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2020
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 ENDICOTT ST
DANVERS MA
01923-3623
US

IV. Provider business mailing address

12 ROSS DR
LONDONDERRY NH
03053-3589
US

V. Phone/Fax

Practice location:
  • Phone: 978-882-6464
  • Fax:
Mailing address:
  • Phone: 603-348-7897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number033.0134422
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH1003070
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHCY-01022
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: