Active NPI
Kylie Michelle Starry, PHARMD
- Pharmacist
- Oconto Falls, WI
National Provider Identifier
1649059403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21480-40
- Practice address
- 323 E Highland Dr
Oconto Falls, WI 54154-1006 - Phone
- (920) 848-3721
- NPI assigned
- Sep 21, 2023
- 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 | 21480-40 | WI | Primary |
Addresses
Primary practice location
323 E Highland Dr
Oconto Falls, WI 54154-1006
Mailing address
323 E Highland Dr
Oconto Falls, WI 54154-1006
Phone (920) 848-3721
Other practice location 1
203 E Westgor Ave
Wittenberg, WI 54499-9174
Phone (715) 253-2164
Other practice location 2
121 N Saint Augustine St
Pulaski, WI 54162-7982
Phone (920) 822-3011
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 |
|---|---|---|---|
| 21480-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1649059403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 E HIGHLAND DR",
"city": "OCONTO FALLS",
"state": "WI",
"postal_code": "541541006",
"telephone_number": "920-848-3721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 E HIGHLAND DR",
"city": "OCONTO FALLS",
"state": "WI",
"postal_code": "541541006",
"telephone_number": "920-848-3721"
}
],
"practiceLocations": [
{
"address_1": "203 E Westgor Ave",
"address_purpose": "LOCATION",
"city": "Wittenberg",
"state": "WI",
"postal_code": "544999174",
"country_code": "US",
"telephone_number": "715-253-2164",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "121 N Saint Augustine St",
"address_purpose": "LOCATION",
"city": "Pulaski",
"state": "WI",
"postal_code": "541627982",
"country_code": "US",
"telephone_number": "920-822-3011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STARRY",
"first_name": "KYLIE",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-21",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "21480-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oconto Falls, WI
- St Vincent Hospital-Hospital Sisters-Third Order of St Francis
- St Vincent Hospital-Hospital Sisters-Third Order of St Francis
- St Vincent Hospital-Hospital Sisters-Third Order of St Francis
- St. Clare Memorial Hospital, Inc
- St. Vincent Hospital-Hospital Sisters-Third Order of St. Francis
- Timothy Patrick Starry, R.PH.
- Stay at Homecare LLC
- Jayne M Stefanic, ISW
- Desirae Jo Steier, PT, DPT
- Michael J Stiennon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.