Look up the most recent NPI and PECOS records

Renee Marie Kathan

Pharmacist

Pharmacy Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Renee Marie Kathan does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1619514882
Provider Type
Individual
Full Name
Kathan, Renee Marie
Credential
RPH

Gender
Female
Sole Proprietor
No
Enumeration Date
12/5/2019
Last Updated
12/5/2019

Contact Information

Practice Location

3828 Troup Hwy, Tyler, TX 75703-1726

(903) 281-9666

Unlisted Fax

Mailing Location

20820 Bluegrass Cir, Flint, TX 75762-8771

(903) 312-8107

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 30164 Texas

Provider Identifiers

ID	Description	Issuer
ID 30164	Description Other	Issuer TEXAS BOARD OF PHARMACY Texas
ID 317590	Description Other	Issuer NABP

Renee Marie Kathan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Owusu, Augustine

Dockery, Hunter Scott

Campbell, Angela Hughes

Perrie, Tracy

Guy, Robert Sidney

Darlin - Reynolds, Letha E

Boonstra, James Guillermo

Ortiz, Hermes Jose

Kiratu, Samuel Ng'Ang'A

Cantwell, Jessica Lynn