Active NPI
Kaytlyn Rae Kramer Dummer, PHARMD
- Pharmacist
- Two Rivers, WI
National Provider Identifier
1548868771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20564
- Practice address
- 2206 Washington St
Two Rivers, WI 54241-2241 - Phone
- (920) 793-8352
- NPI assigned
- Oct 9, 2020
- Last updated
- Oct 9, 2020
- Sex
- Female
- 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 | 20564 | WI | Primary |
Addresses
Primary practice location
2206 Washington St
Two Rivers, WI 54241-2241
Mailing address
581 S Milwaukee St
Fredonia, WI 53021-9303
Phone (920) 290-1560
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 |
|---|---|---|---|
| 20564 | WI | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeshore Community Health Care, Inc | Past | Accepting new patients | |
| La Clinica de Los Campesinos, Inc | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Noble Pharmacy
- Community/Retail Pharmacy
- Sheboygan, WI
- NPI 1295258200
-
- Federally Qualified Health Center (FQHC)
- Sheboygan, WI
- NPI 1144698549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602201600000",
"number": "1548868771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "581 S MILWAUKEE ST",
"city": "FREDONIA",
"state": "WI",
"postal_code": "530219303",
"telephone_number": "920-290-1560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2206 WASHINGTON ST",
"city": "TWO RIVERS",
"state": "WI",
"postal_code": "542412241",
"telephone_number": "920-793-8352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUMMER",
"first_name": "KAYTLYN",
"middle_name": "RAE KRAMER",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-09",
"last_updated": "2020-10-09",
"certification_date": "2020-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "20564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Two Rivers, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.