Active NPI
Khalil Ouellette, PHARMD
- Pharmacist
- Milwaukee, WI
National Provider Identifier
1528662988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20614-40
- Practice address
- 7600 W Capitol Dr
Milwaukee, WI 53222-2055 - Phone
- (414) 464-4601
- NPI assigned
- Nov 25, 2020
- Last updated
- Nov 25, 2020
- 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 | 20614-40 | WI | Primary |
Addresses
Primary practice location
7600 W Capitol Dr
Milwaukee, WI 53222-2055
Mailing address
7600 W Capitol Dr
Milwaukee, WI 53222-2055
Phone (414) 464-4601
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 |
|---|---|---|---|
| 20614-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
7600 W Capitol Dr
Milwaukee, WI 53222
Phone (414) 464-4601
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": "1606262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606262400000",
"number": "1528662988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 W CAPITOL DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532222055",
"telephone_number": "414-464-4601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 W CAPITOL DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532222055",
"telephone_number": "414-464-4601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUELLETTE",
"first_name": "KHALIL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-25",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "20614-40",
"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 Nov 25, 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.