Active NPI
Amy Cathleen Kuker, PHARMD
- Pharmacist
- Cross Plains, WI
National Provider Identifier
1104033828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14106-040
- Practice address
- 1910 Main St
Cross Plains, WI 53528-9594 - Phone
- (608) 798-3031
- Fax
- (608) 798-3932
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 14106-040 | WI | Primary |
Addresses
Primary practice location
1910 Main St
Cross Plains, WI 53528-9594
Mailing address
PO Box 215
Cross Plains, WI 53528-0215
Phone (608) 798-3031
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 |
|---|---|---|---|
| 14106-040 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cross Plains Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Cross Plains, WI
- NPI 1528173572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185753600000",
"number": "1104033828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 215",
"city": "CROSS PLAINS",
"state": "WI",
"postal_code": "535280215",
"telephone_number": "608-798-3031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 MAIN ST",
"city": "CROSS PLAINS",
"state": "WI",
"postal_code": "535289594",
"telephone_number": "608-798-3031",
"fax_number": "608-798-3932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUKER",
"first_name": "AMY",
"middle_name": "CATHLEEN",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "14106-040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cross Plains, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.