Individual provider Active NPI

Kasi Lee Ludwig, PHARMD

  • Pharmacist
  • Greenville, WI
National Provider Identifier
1811181548
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14124 Issued in WI
Practice address
N1788 Lily of the Valley Dr
Suite a
Greenville, WI 54942-9103
Phone
(920) 757-3096
Fax
(920) 757-3099
NPI assigned
Sep 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 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 14124 WI Primary

Addresses

Primary practice location

N1788 Lily of the Valley Dr
Suite a
Greenville, WI 54942-9103

Mailing address

N1788 Lily of the Valley Dr
Suite a
Greenville, WI 54942-9103
Phone (920) 757-3096

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
14124WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Morton Drug Co Inc Past Accepting new patients
Morton Drug Co Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1811181548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N1788 LILY OF THE VALLEY DR",
            "address_2": "SUITE A",
            "city": "GREENVILLE",
            "state": "WI",
            "postal_code": "549429103",
            "telephone_number": "920-757-3096",
            "fax_number": "920-757-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N1788 LILY OF THE VALLEY DR",
            "address_2": "SUITE A",
            "city": "GREENVILLE",
            "state": "WI",
            "postal_code": "549429103",
            "telephone_number": "920-757-3096",
            "fax_number": "920-757-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDWIG",
        "first_name": "KASI",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "14124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.