Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stella Grace Katisi

Individual provider Pharmacist · NPI 1750921458

Stella Grace Katisi is a Pharmacist in Fort Bragg, California. Licensed in California, Maryland and Virginia. Registered with an NPI since 2020.

Licensed in
CA, MD, VA
In the registry since
2020
Specialties on file
3

Practice location Address checks out

490 S Main St
Fort Bragg, CA 95437-4806
Phone: (707) 964-1848
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 81824 (CA)
Pharmacist Taxonomy 183500000X · Licence 026966 (MD)
Pharmacist Taxonomy 183500000X · Licence 0202218297 (VA)

Record details

NPI number1750921458
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 9, 2020
Last updated in NPPESJanuary 9, 2020
Certification dateJanuary 9, 2020
Mailing address326 Brookwood Ave, Santa Rosa, CA 95404-5205

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