Individual provider Active NPI

Krista Kleekamp, PHARMD

  • Pharmacist
  • Madison, WI
National Provider Identifier
1689270001
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19492-40 Issued in WI
Practice address
3250 Kingsley Way
Madison, WI 53713-4628
Phone
(608) 310-9922
NPI assigned
Dec 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19492-40 WI Primary

Addresses

Primary practice location

3250 Kingsley Way
Madison, WI 53713-4628

Mailing address

8606 Greenway Blvd Apt 102
Middleton, WI 53562-3572
Phone (636) 221-9920

Other identifiers 1

IdentifierTypeStateIssuer
1MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krista.kleekamp@guardianpharmacy.net Direct

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

LicenseStateTypeSpecialty
19492-40WIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1689270001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8606 GREENWAY BLVD APT 102",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623572",
            "telephone_number": "636-221-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 KINGSLEY WAY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537134628",
            "telephone_number": "608-310-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEEKAMP",
        "first_name": "KRISTA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "19492-40",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krista.kleekamp@guardianpharmacy.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3250 Kingsley Way",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537134628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.

Verify at the official NPI Registry.