Active NPI
Joseph Kizito, PHARMD
- Pharmacist
- Milwaukee, WI
National Provider Identifier
1740567239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14695-40
- Practice address
- 6442 N 76TH St
Milwaukee, WI 53223-6102 - Phone
- (414) 353-5620
- NPI assigned
- Nov 10, 2011
- Sex
- Male
- 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 | 14695-40 | WI | Primary |
Addresses
Primary practice location
6442 N 76TH St
Milwaukee, WI 53223-6102
Mailing address
6098 W Darnel Ave
Brown Deer, WI 53223-3556
Phone (414) 534-1432
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14695-40 | Other | WI | WISCONSIN BOARD OF PHARMACY LICENSE |
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 |
|---|---|---|---|
| 14695-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1740567239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6098 W DARNEL AVE",
"city": "BROWN DEER",
"state": "WI",
"postal_code": "532233556",
"telephone_number": "414-534-1432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6442 N 76TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532236102",
"telephone_number": "414-353-5620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIZITO",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-10",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "14695-40",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WISCONSIN BOARD OF PHARMACY LICENSE",
"identifier": "14695-40",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.