Individual provider Active NPI

Robert F Kossow, RPH

  • Pharmacist
  • West Bend, WI
National Provider Identifier
1811024615
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
8943 Issued in WI
Practice address
907 Foxland PL
West Bend, WI 53095-5532
Phone
(414) 587-3154
Fax
(262) 338-3639
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 8943 WI Primary

Addresses

Primary practice location

907 Foxland PL
West Bend, WI 53095-5532

Mailing address

W225N2857 Foxwood CT
Waukesha, WI 53186-8855
Phone (414) 587-3154

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

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811024615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W225N2857 FOXWOOD CT",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531868855",
            "telephone_number": "414-587-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 FOXLAND PL",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530955532",
            "telephone_number": "414-587-3154",
            "fax_number": "262-338-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSSOW",
        "first_name": "ROBERT",
        "middle_name": "F",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "8943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.