Individual provider Active NPI

Kathleen Rekowski, R.PH.

  • Pharmacist
  • Sussex, WI
National Provider Identifier
1194156166
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
8819 Issued in WI
Practice address
N65W24838 Main St # 400
Sussex, WI 53089-2670
Phone
(262) 820-0200
Fax
(262) 820-0243
NPI assigned
Dec 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 8819 WI Primary

Addresses

Primary practice location

N65W24838 Main St # 400
Sussex, WI 53089-2670

Mailing address

N65W24838 Main St # 400
Sussex, WI 53089-2670
Phone (262) 820-0200

Other identifiers 2

IdentifierTypeStateIssuer
5133804OtherWINCPDP
1396185278OtherWINPI

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
Registered Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1194156166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N65W24838 MAIN ST # 400",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530892670",
            "telephone_number": "262-820-0200",
            "fax_number": "262-820-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N65W24838 MAIN ST # 400",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530892670",
            "telephone_number": "262-820-0200",
            "fax_number": "262-820-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REKOWSKI",
        "first_name": "KATHLEEN",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "8819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5133804",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396185278",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sussex, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.