KATELIN ETHRIDGE PHARMD
NPI 1164190963
Pharmacist in Douglas, GA

Active since September 06, 2021
813 PETERSON AVE S, DOUGLAS, GA 31533(912) 383-6862 Get Directions Write a Review

NPPES record last updated: September 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katelin Ethridge Pharmd NPPES

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

KATELIN ETHRIDGE PHARMD (NPI 1164190963) is an individual pharmacist in Douglas, Georgia, licensed in Georgia (028987) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1164190963
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameKATELIN ETHRIDGECredential: PHARMD
Location Address813 PETERSON AVE SDouglas, GA 31533-5234
Mailing Address813 Peterson Ave SDouglas, GA 31533-5234 · (912) 383-6862
Sole ProprietorYes
Enumeration DateSeptember 6, 2021
NPPES CertifiedSeptember 6, 2021
NPI 1164190963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in GA · 028987
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
813 PETERSON AVE S, Douglas, GA 31533

Other Providers at the Same Location NPPES 3

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

Pharmacist
813 PETERSON AVE S
DOUGLAS, GA 31533
Pharmacy (Community/Retail Pharmacy)
813 PETERSON AVE S
DOUGLAS, GA 31533
Pharmacist
813 PETERSON AVE S
DOUGLAS, GA 31533

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 Katelin Ethridge's NPI number?

The NPI number for Katelin Ethridge is 1164190963. It was assigned to this individual provider in the NPPES registry on September 6, 2021.

Where is Katelin Ethridge located?

Katelin Ethridge practices at 813 Peterson Ave S, Douglas, GA 31533. The listed phone number is (912) 383-6862.

What is Katelin Ethridge's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Katelin Ethridge was last updated on September 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.