Individual provider Active NPI

Kelly Caluori, PHARM.D.

  • Pharmacist
  • Mount Horeb, WI
National Provider Identifier
1740538826
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16773-40 Issued in WI
Practice address
1401 Springdale St
Mount Horeb, WI 53572-2067
Phone
(608) 437-9160
Fax
(608) 437-9166
NPI assigned
Aug 21, 2012
Last updated
Feb 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 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 16773-40 WI Primary

Addresses

Primary practice location

1401 Springdale St
Mount Horeb, WI 53572-2067

Mailing address

1401 Springdale St
Mount Horeb, WI 53572-2067
Phone (608) 437-9160

Other practice location 1

704 N Main St
Oregon, WI 53575-1004
Phone (608) 835-6771

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
16773-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Mar 27, 2022 Accepting new patients
Walgreen Co PastSince Feb 23, 2020 Accepting new patients
Walgreen Co PastSince Feb 27, 2022 Accepting new patients

Locations

1401 Springdale St
Mount Horeb, WI 53572
Phone (608) 437-9160

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1740538826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SPRINGDALE ST",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "535722067",
            "telephone_number": "608-437-9160",
            "fax_number": "608-437-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SPRINGDALE ST",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "535722067",
            "telephone_number": "608-437-9160",
            "fax_number": "608-437-9166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "704 N Main St",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "WI",
            "postal_code": "535751004",
            "country_code": "US",
            "telephone_number": "608-835-6771",
            "fax_number": "608-835-0079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALUORI",
        "first_name": "KELLY",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "16773-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Horeb, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.