Individual provider Active NPI

Kerri Lynn Garant, RPH

  • Pharmacist
  • Saukville, WI
National Provider Identifier
1437757069
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12212-40 Issued in WI
Practice address
Walmart Pharmacy 10-1650
825 E. Green Bay Avenue
Saukville, WI 53080
Phone
(262) 284-9881
Fax
(262) 284-1174
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12212-40 WI Primary

Addresses

Primary practice location

Walmart Pharmacy 10-1650
825 E. Green Bay Avenue
Saukville, WI 53080

Mailing address

Walmart Pharmacy 10-1650
825 E. Green Bay Avenue
Saukville, WI 53080
Phone (262) 284-9881

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
12212-40WIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1437757069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WALMART PHARMACY 10-1650",
            "address_2": "825 E. GREEN BAY AVENUE",
            "city": "SAUKVILLE",
            "state": "WI",
            "postal_code": "53080",
            "telephone_number": "262-284-9881",
            "fax_number": "262-284-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WALMART PHARMACY 10-1650",
            "address_2": "825 E. GREEN BAY AVENUE",
            "city": "SAUKVILLE",
            "state": "WI",
            "postal_code": "53080",
            "telephone_number": "262-284-9881",
            "fax_number": "262-284-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARANT",
        "first_name": "KERRI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "12212-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saukville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.