Kaukauna Prescription Center

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KAUKAUNA PRESCRIPTION CENTER

Practice address

200 E 2ND St
Kaukauna, WI 54130-2524

Phone

(920) 766-9200

Fax

(920) 766-7998

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Jerome Wallenfang, RPH

Title

Owner and Ceo

Phone

(920) 766-9200

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• CONSUMER PRESCRIPTION CENTER Doing business as

Locations

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1376615575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND ST",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541302524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 2ND ST",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541302524",
            "telephone_number": "920-766-9200",
            "fax_number": "920-766-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUKAUNA PRESCRIPTION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WALLENFANG",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "OWNER AND CEO",
        "authorized_official_telephone_number": "920-766-9200",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "8079042",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5112393",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33127100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONSUMER PRESCRIPTION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Kappell, LMT
• Sydney Kappus
• Kaukauna Area School District
• Kaukauna Clinic, S.C.
• Kaukauna Family Dentistry, S.C.
• Michael Kilgas, DPT
• Lori Deprez King, RN, APNP
• Jennifer Lynn Kitelinger, OTR
• Michele Knapp-Pingel, PTA
• John Norbert Krupka, D.D.S.

• Community/Retail Pharmacy in Kaukauna, WI
• Providers in Kaukauna, WI by specialty
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.