Active NPI
Kaylee Hall
- Pharmacist
- De Witt, IA
National Provider Identifier
1679078760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22712
- Practice address
- 629 6TH Ave
De Witt, IA 52742-1635 - Phone
- (563) 659-5042
- NPI assigned
- Mar 29, 2018
- Last updated
- Mar 29, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21005 | NC | |
| Pharmacist | 183500000X | 015383 | KY | |
| Pharmacist | 183500000X | 22712 | IA | Primary |
Addresses
Primary practice location
629 6TH Ave
De Witt, IA 52742-1635
Mailing address
629 6TH Ave
De Witt, IA 52742-1635
Phone (563) 659-5042
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22712 | IA | MD | Pharmacist |
| 015383 | KY | MD | Pharmacist |
| 21005 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522281600000",
"number": "1679078760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 6TH AVE",
"city": "DE WITT",
"state": "IA",
"postal_code": "527421635",
"telephone_number": "563-659-5042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 6TH AVE",
"city": "DE WITT",
"state": "IA",
"postal_code": "527421635",
"telephone_number": "563-659-5042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "KAYLEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-29",
"last_updated": "2018-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "21005",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "015383",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "22712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in De Witt, IA
- Genesis Health System (Scott Drug Unit Dose, an affiliate of Genesis Health System)
- Genesis Health System (Genesis Medical Center Dewitt)
- Genesis Health System (Genesis Health Group)
- Genesis Health System (Westwing Place)
- Stefanie Guy
- Steven J Hanas, MD
- Harmony Equip LLC
- Mervin R Hassebrock, OD
- Jacob M. Hayward, O.D.
- Jolene Ann Henning, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.