Individual provider Active NPI

Lisa Kostecki, RPH

  • Pharmacist
  • Cross Plains, WI
National Provider Identifier
1205843646
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10362-040 Issued in WI
Practice address
1840 Main St
Cross Plains, WI 53528-9473
Phone
(608) 798-3031
Fax
(608) 798-3932
NPI assigned
Aug 1, 2006
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10362-040 WI Primary

Addresses

Primary practice location

1840 Main St
Cross Plains, WI 53528-9473

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
10362-040WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cross Plains Pharmacy LLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

1840 Main St
Cross Plains, WI 53528
Phone (608) 798-3031

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, 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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1205843646",
    "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",
            "fax_number": "608-798-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MAIN ST",
            "city": "CROSS PLAINS",
            "state": "WI",
            "postal_code": "535289473",
            "telephone_number": "608-798-3031",
            "fax_number": "608-798-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTECKI",
        "first_name": "LISA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "10362-040",
            "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 Feb 20, 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.

Verify at the official NPI Registry.