Kealey Pharmacy & Home Care Center

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

7301-042 Issued in WI

Legal business name

KEALEY PHARMACY & HOME CARE CENTER

Doing business as

Kealey Pharmacy and Homecare Inc

Practice address

21 S Jackson St
Janesville, WI 53548-3859

Phone

(608) 752-7869

Fax

(608) 752-6806

NPI assigned

Mar 15, 2007

Last updated

Jun 14, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark Johnson, RPH

Title

Owner / President

Phone

(608) 752-7869

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• KEALEY PHARMACY AND HOMECARE INC Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erin Leigh Smerchek, PHARMD, RPH

  • Pharmacist
  • Edgerton, WI
  • NPI 1063564540
  NPD (past)
• Michael Todd Zagelow, RPH

  • Pharmacist
  • Fort Atkinson, WI
  • NPI 1427694652
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1033243845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8005",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535478005",
            "telephone_number": "608-752-7869",
            "fax_number": "608-752-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S JACKSON ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535483859",
            "telephone_number": "608-752-7869",
            "fax_number": "608-752-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEALEY PHARMACY & HOME CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "608-752-7869",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "7301-042",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2111847",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33117200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KEALEY PHARMACY AND HOMECARE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benjamin H Kartman, MD
• Sara A Kaster, APRN, FNP
• Avery Kaumeyer, CCC-SLP
• Francis F Kaveggia, MD
• Michael Stuart Kaye, PHD
• Adam Kedzia, MD
• Keehn Chiropractic Office, S.C.
• John R Keener, MD
• Morgan Keeser
• Franz A. Keilhauer, MD

• Community/Retail Pharmacy in Janesville, WI
• Providers in Janesville, WI by specialty
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.