Active NPI
Kelsey Kreyer, PHARMD
- Pharmacist
- Hayward, WI
National Provider Identifier
1063011252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19965-40
- Practice address
- 15594 State Hwy 77
Hayward, WI 54843 - Phone
- (715) 634-8309
- NPI assigned
- Oct 20, 2020
- Last updated
- Feb 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 19965-40 | WI | Primary |
Addresses
Primary practice location
15594 State Hwy 77
Hayward, WI 54843
Mailing address
15594 State Hwy 77
Hayward, WI 54843-5428
Phone (715) 634-8309
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19965-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1063011252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15594 STATE HWY 77",
"city": "HAYWARD",
"state": "WI",
"postal_code": "548435428",
"telephone_number": "715-634-8309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15594 STATE HWY 77",
"city": "HAYWARD",
"state": "WI",
"postal_code": "54843",
"telephone_number": "715-634-8309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREYER",
"first_name": "KELSEY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-20",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "19965-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.