National Provider Identifier
Katie Versage
Katie Versage is listed in the NPPES registry with a primary specialty of Pharmacist in Brockport, NY and a listed phone number of (585) 637-7705.
Profile Overview
- NPI
- 1013458736
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- March 14, 2017
- Last Updated
- November 29, 2020
Practice Location
- 6510 Brockport Spencerport RD
- Brockport, NY 14420-2630
Phone: (585) 637-7705
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1013458736
- Entity Type
- Individual
- Last Name
- Versage
- First Name
- Katie
- Mailing Street Address
- 6510 Brockport Spencerport RD
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-2630
- Mailing Country
- US
- Mailing Phone
- (585) 637-7705
- Mailing Fax
- (585) 637-7725
- Practice Street Address
- 6510 Brockport Spencerport RD
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-2630
- Practice Country
- US
- Practice Phone
- (585) 637-7705
- Practice Fax
- (585) 637-7725
- Enumeration Date
- March 14, 2017
- Last Updated
- November 29, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 29, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)