Kenneth Lee O'Neill

Primary specialty

PharmacistTaxonomy code 183500000X

License

9788-040 Issued in WI

Practice address

2880 University Ave
MC 9001
Madison, WI 53705-3644

Phone

(608) 263-9393

NPI assigned

Nov 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487724001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 OAK CREEK TRL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171509",
            "telephone_number": "608-263-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 UNIVERSITY AVE",
            "address_2": "MC 9001",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053644",
            "telephone_number": "608-263-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "KENNETH",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "9788-040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "9788-040",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Carol O'Malley, RN
• Matthew Harrington O'Meara
• Chelsea O'Neil, MA, LPC-IT
• Katie O'Neil, LPC-IT
• Gabrielle Renee O'Neill
• Ronon E O'Neill, PA-C
• Ryan O O'Neill, PA-C
• Sean M O'Neill, M.D.
• Afton M O'Reilly, PT
• Ann P. O'Rourke, M.D.

• Pharmacist in Madison, WI
• Providers in Madison, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.