Active NPI
Thomas Klosowski, PHARMD
- Pharmacist
- Stoughton, WI
National Provider Identifier
1073374302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23017-40
- Practice address
- 1705 US Highway 51 and 138
Stoughton, WI 53589-1907 - Phone
- (608) 873-7612
- Fax
- (608) 873-7894
- NPI assigned
- Jan 23, 2024
- Last updated
- Aug 3, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2024000997 | MO | |
| Pharmacist | 183500000X | 23017-40 | WI | Primary |
Addresses
Primary practice location
1705 US Highway 51 and 138
Stoughton, WI 53589-1907
Mailing address
1705 US Highway 51 and 138
Stoughton, WI 53589-1907
Phone (608) 873-7612
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 |
|---|---|---|---|
| 2024000997 | MO | MD | Pharmacist |
| 23017-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1705 US Highway 51 and 138
Stoughton, WI 53589
Phone (608) 773-7612
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754179200000",
"number": "1073374302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 US HIGHWAY 51 AND 138",
"city": "STOUGHTON",
"state": "WI",
"postal_code": "535891907",
"telephone_number": "608-873-7612",
"fax_number": "608-873-7894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 US HIGHWAY 51 AND 138",
"city": "STOUGHTON",
"state": "WI",
"postal_code": "535891907",
"telephone_number": "608-873-7612",
"fax_number": "608-873-7894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOSOWSKI",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-23",
"last_updated": "2025-08-03",
"certification_date": "2025-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2024000997",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "23017-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stoughton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.