Healthcare Provider Details

I. General information

NPI: 1841744117
Provider Name (Legal Business Name): KATHERINE ELIZABETH DUPREY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHERINE ELIZABETH CORSI PHARMD

II. Dates (important events)

Enumeration Date: 08/04/2016
Last Update Date: 03/03/2023
Certification Date: 03/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 CHAPMAN ST STE 100
PROVIDENCE RI
02905-4539
US

IV. Provider business mailing address

245 CHAPMAN ST STE 100
PROVIDENCE RI
02905-4539
US

V. Phone/Fax

Practice location:
  • Phone: 401-444-6118
  • Fax: 401-444-8804
Mailing address:
  • Phone: 401-444-6118
  • Fax: 401-444-8804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH05611
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberRPH05611
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: