Chase Kooyman, PHARMD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

19981-40 Issued in WI

Practice address

1901 Milwaukee Ave
Burlington, WI 53105-9799

Phone

(262) 767-1902

NPI assigned

Jul 18, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1033762000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N30W23861 GREEN RD APT 2",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530725742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MILWAUKEE AVE",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531059799",
            "telephone_number": "262-767-1902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "791 Summit Ave",
            "address_purpose": "LOCATION",
            "city": "Oconomowoc",
            "state": "WI",
            "postal_code": "530663844",
            "country_code": "US",
            "telephone_number": "262-569-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOOYMAN",
        "first_name": "CHASE",
        "name_prefix": "Dr.",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-18",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "19981-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen C Kmecak, MD
• John Edward Knutson, DDS
• Jessica Koch, LPN
• Michael Edward Kokat, D.P.M.
• Violeta J Komotos, M.D.
• Alexander Korittnig, CRNA
• Chad A Kort, MD
• Anne Krause, R.N.
• Kelsey Krebs
• Elizabeth M Krepelan

• Pharmacist in Burlington, WI
• Providers in Burlington, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.