Active NPI
Kathee E De Falla, PHARM.D.
- Pharmacist
- Fort Atkinson, WI
National Provider Identifier
1760736367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13431-040
- Practice address
- 300 N Main St
Fort Atkinson, WI 53538-1831 - Phone
- (920) 568-9326
- NPI assigned
- Nov 4, 2012
- Last updated
- Apr 17, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13431-040 | WI | Primary |
Addresses
Primary practice location
300 N Main St
Fort Atkinson, WI 53538-1831
Mailing address
324 Roosevelt St
Fort Atkinson, WI 53538-1634
Phone (906) 281-3388
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 |
|---|---|---|---|
| 13431-040 | 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, 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": "1351987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587081600000",
"number": "1760736367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 ROOSEVELT ST",
"city": "FORT ATKINSON",
"state": "WI",
"postal_code": "535381634",
"telephone_number": "906-281-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N MAIN ST",
"city": "FORT ATKINSON",
"state": "WI",
"postal_code": "535381831",
"telephone_number": "920-568-9326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE FALLA",
"first_name": "KATHEE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-04",
"last_updated": "2020-04-17",
"certification_date": "2020-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "13431-040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Atkinson, WI
- Patrick Thomas Daley, M.D.
- Joan Elizabeth Dams, RN
- Kaylin Gaia Darling, MD
- Randall L Daut, PHD
- Carissa Davis
- Dean Health Systems, Inc. (SSM Health Dean Medical Group - Fort Atkinson)
- Dean Retail Services, Inc. (SSM Health Davis Duehr Dean Eye Care)
- Joyce M Dedrick, APNP
- Deborah E Degnan, PA-C
- David Michael Dick
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.