Individual provider Active NPI

Bruce Gordon Kaasa, R.PH

  • Pharmacist
  • Richland Center, WI
National Provider Identifier
1629312350
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9213-40 Issued in WI
Practice address
190 Richland SQ
Richland Center, WI 53581-2947
Phone
(608) 647-8918
Fax
(608) 647-8919
NPI assigned
Nov 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9213-40 WI Primary

Addresses

Primary practice location

190 Richland SQ
Richland Center, WI 53581-2947

Mailing address

190 Richland SQ
Richland Center, WI 53581-2947
Phone (608) 647-8918

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
9213-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaasa Drugs of Richland Center Inc Current Accepting new patients

Locations

190 Richland Sq
Richland Ctr, WI 53581
Phone (608) 647-8918

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1629312350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 RICHLAND SQ",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535812947",
            "telephone_number": "608-647-8918",
            "fax_number": "608-647-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 RICHLAND SQ",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535812947",
            "telephone_number": "608-647-8918",
            "fax_number": "608-647-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAASA",
        "first_name": "BRUCE",
        "middle_name": "GORDON",
        "name_prefix": "Mr.",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "9213-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland Center, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.