Active NPI
Kokugonza Kaijage
- Pharmacist
- Milwaukee, WI
National Provider Identifier
1013315084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16553-40
- Practice address
- 7401 W Good Hope Rd
Milwaukee, WI 53223-4618 - Phone
- (414) 760-3273
- NPI assigned
- Dec 8, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16553-40 | WI | Primary |
Addresses
Primary practice location
7401 W Good Hope Rd
Milwaukee, WI 53223-4618
Mailing address
7401 W Good Hope Rd
Milwaukee, WI 53223-4618
Phone (414) 760-3273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16553-40 | Other | WI | PHARMACIST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16553-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roundys Supermarkets Inc | Past | Accepting new patients | |
| Roundys Supermarkets Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Marshfield, WI
- NPI 1013484997
-
- Community/Retail Pharmacy
- Milwaukee, WI
- NPI 1962641514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417996800000",
"number": "1013315084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7401 W GOOD HOPE RD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532234618",
"telephone_number": "414-760-3273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7401 W GOOD HOPE RD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532234618",
"telephone_number": "414-760-3273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAIJAGE",
"first_name": "KOKUGONZA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-08",
"last_updated": "2014-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "16553-40",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "16553-40",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.