KATHRYN ELIZABETH MEDDERS PHARM.D., PH.D.
NPI 1508203589
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in San Diego, CA

Q: What is Kathryn Medders's NPI number?

The NPI number for Kathryn Medders is 1508203589. It was assigned to this individual provider in the NPPES registry on May 30, 2013.

Q: What is Kathryn Medders's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

Q: When was this NPI record last updated?

The NPPES record for Kathryn Medders was last updated on January 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since May 30, 2013

200 W ARBOR DR, MC1234, SAN DIEGO, CA 92103(619) 471-0742(619) 543-3505 Get Directions Write a Review

NPPES record last updated: January 8, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kathryn Elizabeth Medders Pharm.d., Ph.d. NPPES

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

KATHRYN ELIZABETH MEDDERS PHARM.D., PH.D. (NPI 1508203589) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in San Diego, California, licensed in California (69516) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1508203589

Entity TypeIndividualFemale

Primary Taxonomy1835P0018X

Provider Legal NameKATHRYN ELIZABETH MEDDERSCredential: PHARM.D., PH.D.

Location Address200 W ARBOR DR, MC1234San Diego, CA 92103-9000

Mailing Address200 W Arbor Dr, Mc1234San Diego, CA 92103-9000 · (619) 471-0742 · Fax (619) 543-3505

Phone(619) 471-0742

Fax(619) 543-3505

Sole ProprietorNo

Enumeration DateMay 30, 2013

Last NPPES UpdateJanuary 8, 2016

✔ NPI 1508203589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers

Taxonomy Code1835P0018X

License✔ Licensed in CA · 69516

Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

200 W ARBOR DR, San Diego, CA 92103

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Other Providers at the Same Location NPPES 20

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

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