Individual provider Active NPI

Kaylee Marie Poppen

  • Pharmacist
  • Wadena, MN
National Provider Identifier
1043130735
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
127413 Issued in MN
Practice address
321 Jefferson St N
Wadena, MN 56482-1372
Phone
(218) 631-4050
Fax
(218) 631-2726
NPI assigned
Jul 21, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 127413 MN Primary

Addresses

Primary practice location

321 Jefferson St N
Wadena, MN 56482-1372

Mailing address

321 Jefferson St N
Wadena, MN 56482-1372
Phone (218) 631-4050

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

NPI Registry JSON

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1043130735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 JEFFERSON ST N",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821372",
            "telephone_number": "218-631-4050",
            "fax_number": "218-631-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 JEFFERSON ST N",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821372",
            "telephone_number": "218-631-4050",
            "fax_number": "218-631-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPPEN",
        "first_name": "KAYLEE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "127413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadena, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.