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MS. KATHERINE ANNE DE JESUS PHARMD
NPI 1073133443
Student in an Organized Health Care Education/Training Program in Stony Brook, NY

Active since April 25, 2020
101 NICHOLLS ROAD LEVEL 1, STONY BROOK, NY 11794(631) 689-8333 Get Directions Write a Review

NPPES record last updated: April 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Katherine Anne De Jesus Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KATHERINE ANNE DE JESUS PHARMD (NPI 1073133443) is an individual student in an organized health care education/training program in Stony Brook, New York and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1073133443
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. KATHERINE ANNE DE JESUSCredential: PHARMD
Location Address101 NICHOLLS ROAD LEVEL 1Stony Brook, NY 11794-7007
Mailing Address101 Nicholls Road Level 1Stony Brook, NY 11794-7007
Phone(631) 689-8333
Sole ProprietorNo
Enumeration DateApril 25, 2020
NPPES CertifiedApril 25, 2020
✔ NPI 1073133443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
101 NICHOLLS ROAD LEVEL 1, Stony Brook, NY 11794
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RYAN THOMAS BOSAK PHARMD.
Student in an Organized Health Care Education/Training Program
101 NICHOLLS ROAD LEVEL 1
STONY BROOK, NY 11794
Suffolk County (631) 216-9094
ALEXANDRA BRIELLE ERNEY
Student in an Organized Health Care Education/Training Program
101 NICHOLLS ROAD LEVEL 1
STONY BROOK, NY 11794
Suffolk County (631) 444-2860

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine De Jesus's NPI number?

The NPI number for Katherine De Jesus is 1073133443. It was assigned to this individual provider in the NPPES registry on April 25, 2020.

Where is Katherine De Jesus located?

Katherine De Jesus practices at 101 Nicholls Road Level 1, Stony Brook, NY 11794. The listed phone number is (631) 689-8333.

What is Katherine De Jesus's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Katherine De Jesus was last updated on April 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.