MEDICARE: KATHERINE JADE SHUMAKER PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	RPH030868	GA

General Provider Information

NPI Number	:	1558287615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE JADE SHUMAKER PHARMD

Provider Business Mailing Address
First Line	:	1365 CLIFTON RD NE
Second Line	:	BUILDING A, 3RD FLOOR
City	:	ATLANTA
State	:	GA
Zip	:	30322-1013
Country	:	US
Telephone Number	:	404-251-1004
Fax Number	:	404-544-2928

Provider Business Practice Location Address
First Line	:	1365 CLIFTON RD NE
Second Line	:	BUILDING A, 3RD FLOOR
City	:	ATLANTA
State	:	GA
Zip	:	30322-1013
Country	:	US
Telephone Number	:	404-251-1004
Fax Number	:	404-544-2928

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2026
Last Update Date	:	06/24/2026

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