Individual provider Active NPI

Richard J Kallio, R.PH.

  • Pharmacist
  • Janesville, WI
National Provider Identifier
1710173141
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9120-040 Issued in WI
Practice address
580 N Washington St
Suite 300
Janesville, WI 53548-2984
Phone
(608) 755-3599
Fax
(608) 755-3553
NPI assigned
Sep 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9120-040 WI Primary

Addresses

Primary practice location

580 N Washington St
Suite 300
Janesville, WI 53548-2984

Mailing address

580 N Washington St
Suite 300
Janesville, WI 53548-2984
Phone (608) 755-3599

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
9120-040WIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1710173141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 N WASHINGTON ST",
            "address_2": "SUITE 300",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535482984",
            "telephone_number": "608-755-3599",
            "fax_number": "608-755-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 N WASHINGTON ST",
            "address_2": "SUITE 300",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535482984",
            "telephone_number": "608-755-3599",
            "fax_number": "608-755-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLIO",
        "first_name": "RICHARD",
        "middle_name": "J",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-19",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "9120-040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.