Individual provider Active NPI

Jordyn Catherine Kohlmann, PHARMD.

  • Pharmacist
  • Kiel, WI
National Provider Identifier
1205467628
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18936-40 Issued in WI
Practice address
1001 Service Road
Suite 101
Kiel, WI 53042
Phone
(920) 894-4370
Fax
(920) 894-7988
NPI assigned
Feb 4, 2020
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

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

LicenseStateTypeSpecialty
18936-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Pharmacy Inc PastSince Feb 9, 2020 Accepting new patients
Aurora Pharmacy, Inc PastSince Feb 9, 2020 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18936-40 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

1001 Service Road
Suite 101
Kiel, WI 53042

Mailing address

1001 Service Road
Suite 101
Kiel, WI 53042
Phone (920) 894-4370

Other names 1

NPPES NPI Registry
  • Jordyn Catherine Vandenplas Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 4, 2020.

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1205467628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SERVICE ROAD",
            "address_2": "SUITE 101",
            "city": "KIEL",
            "state": "WI",
            "postal_code": "53042",
            "telephone_number": "920-894-4370",
            "fax_number": "920-894-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SERVICE ROAD",
            "address_2": "SUITE 101",
            "city": "KIEL",
            "state": "WI",
            "postal_code": "53042",
            "telephone_number": "920-894-4370",
            "fax_number": "920-894-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLMANN",
        "first_name": "JORDYN",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "18936-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDYN",
            "last_name": "VANDENPLAS",
            "middle_name": "CATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kiel, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.