Active NPI
Kayla Rackow, PHARM.D.
- Pharmacist
- Monroe, WI
National Provider Identifier
1396295846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18429-40
- Practice address
- 405 W 8TH St
Monroe, WI 53566-1063 - Phone
- (608) 328-3310
- NPI assigned
- Oct 8, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18429-40 | WI | Primary |
Addresses
Primary practice location
405 W 8TH St
Monroe, WI 53566-1063
Mailing address
N2371 Bethel Rd
Monroe, WI 53566-9702
Phone (608) 214-6609
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 |
|---|---|---|---|
| 18429-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475884800000",
"number": "1396295846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N2371 BETHEL RD",
"city": "MONROE",
"state": "WI",
"postal_code": "535669702",
"telephone_number": "608-214-6609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W 8TH ST",
"city": "MONROE",
"state": "WI",
"postal_code": "535661063",
"telephone_number": "608-328-3310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACKOW",
"first_name": "KAYLA",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-08",
"last_updated": "2016-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "18429-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.