Healthcare Provider Details

I. General information

NPI: 1295567576
Provider Name (Legal Business Name): KATELYN HARRIS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2024
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3430 OHIOHEALTH PKWY
COLUMBUS OH
43202-1575
US

IV. Provider business mailing address

314 KERRY PARK CIR
DELAWARE OH
43015-8060
US

V. Phone/Fax

Practice location:
  • Phone: 614-788-9355
  • Fax:
Mailing address:
  • Phone: 614-788-9355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208U00000X
TaxonomyClinical Pharmacology Physician
License Number22775-40
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number025054
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number03446571
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: