Active NPI
Annamarie Kucera, PHARMD
- Pharmacist
- Burlington, WI
National Provider Identifier
1417224189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14610-040
- Practice address
- 680 Milwaukee Ave
Burlington, WI 53105-1346 - Phone
- (262) 767-0697
- NPI assigned
- Nov 24, 2011
- Last updated
- Nov 24, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 14610-040 | WI | Primary |
Addresses
Primary practice location
680 Milwaukee Ave
Burlington, WI 53105-1346
Mailing address
1257 Peregrine CT
Burlington, WI 53105-2422
Phone (262) 661-4331
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 |
|---|---|---|---|
| 14610-040 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, 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": "1322092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322092800000",
"number": "1417224189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1257 PEREGRINE CT",
"city": "BURLINGTON",
"state": "WI",
"postal_code": "531052422",
"telephone_number": "262-661-4331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 MILWAUKEE AVE",
"city": "BURLINGTON",
"state": "WI",
"postal_code": "531051346",
"telephone_number": "262-767-0697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUCERA",
"first_name": "ANNAMARIE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-24",
"last_updated": "2011-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "14610-040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.