Active NPI
Rebecca Jane Kehoe, PHARMD
- Pharmacist
- Waupun, WI
National Provider Identifier
1306087911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14320
- Practice address
- 208 S West St
Waupun, WI 53963-1681 - Phone
- (920) 324-1600
- NPI assigned
- Mar 11, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19991 | IA | |
| Pharmacist | 183500000X | 14320 | WI | Primary |
Addresses
Primary practice location
208 S West St
Waupun, WI 53963-1681
Mailing address
3084 Sundown CT
Dubuque, IA 52001-0831
Phone (563) 690-1696
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 |
|---|---|---|---|
| 19991 | IA | MD | Pharmacist |
| 14320 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartig Drug Co Corp | Past | Accepting new patients | |
| BHS Central Pharmacy | Past | Accepting new patients |
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.
-
- Institutional Pharmacy
- Waupun, WI
- NPI 1336394717
-
- Long Term Care Pharmacy
- Waukon, IA
- NPI 1740592591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1306087911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3084 SUNDOWN CT",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520010831",
"telephone_number": "563-690-1696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 S WEST ST",
"city": "WAUPUN",
"state": "WI",
"postal_code": "539631681",
"telephone_number": "920-324-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEHOE",
"first_name": "REBECCA",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-11",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "19991",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "14320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waupun, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.