Active NPI
Isaiah Kilgas
- Pharmacist
- Milwaukee, WI
National Provider Identifier
1407632920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22335
- Practice address
- 3522 W Lisbon Ave
Milwaukee, WI 53208-1953 - Phone
- (414) 935-8000
- NPI assigned
- Sep 1, 2023
- Sex
- Male
- 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 | 22335 | WI | Primary |
Addresses
Primary practice location
3522 W Lisbon Ave
Milwaukee, WI 53208-1953
Mailing address
N81W15131 Appleton Ave Apt 16
Menomonee Falls, WI 53051-3870
Phone (920) 658-5435
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693526400000",
"number": "1407632920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N81W15131 APPLETON AVE APT 16",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530513870",
"telephone_number": "920-658-5435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3522 W LISBON AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532081953",
"telephone_number": "414-935-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILGAS",
"first_name": "ISAIAH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-01",
"last_updated": "2023-09-01",
"certification_date": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "22335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.