Kyle David Braithwaite, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

21482-40 Issued in WI

Practice address

5860 S 108TH St
Hales Corners, WI 53130-1912

Phone

(414) 529-3222

NPI assigned

Nov 9, 2022

Last updated

Dec 23, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co

  dba Walgreens #07568

  • Pharmacy
  • Hales Corners, WI
  • NPI 1821003716
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1083322861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5860 S 108TH ST",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531301912",
            "telephone_number": "414-529-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 S 108TH ST",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531301912",
            "telephone_number": "414-529-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAITHWAITE",
        "first_name": "KYLE",
        "middle_name": "DAVID",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "21482-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.walgreens.com/",
            "affiliation": "Y",
            "affiliationName": "WALGREENS",
            "address_1": "5860 S 108th St",
            "city": "Hales Corners",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531301912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kim Bilda, LMT
• Lu Ann Bird
• Kendra Bisping, PT, DPT
• Sharon Marie Blomdahl, LPN/RCS
• Emma Blough
• Richard Edward Brigham, PSY.D.
• Brianna Rae Buehler
• Michael Adam Burkhardt, D.M.D.
• Jennifer Lyn Burton, PH.D.
• Linda Ann Buyan, OTR

• Pharmacist in Hales Corners, WI
• Providers in Hales Corners, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.