Active NPI
Kelly Castaldo, PHARM. D.
- Pharmacist
- Milwaukee, WI
National Provider Identifier
1861776536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14572-040
- Practice address
- 3701 S Howell Ave
Milwaukee, WI 53207-3838 - Phone
- (414) 482-1470
- Fax
- (414) 482-9658
- NPI assigned
- Sep 29, 2011
- Last updated
- Feb 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 14572-040 | WI | Primary |
Addresses
Primary practice location
3701 S Howell Ave
Milwaukee, WI 53207-3838
Mailing address
3701 S Howell Ave
Milwaukee, WI 53207-3838
Phone (414) 482-1470
Other practice location 1
6241 S Packard Ave
Cudahy, WI 53110-3031
Phone (414) 762-9717
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 |
|---|---|---|---|
| 14572-040 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
3701 S Howell Ave
Milwaukee, WI 53207
Phone (414) 482-1470
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": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1861776536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 S HOWELL AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532073838",
"telephone_number": "414-482-1470",
"fax_number": "414-482-9658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 S HOWELL AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532073838",
"telephone_number": "414-482-1470",
"fax_number": "414-482-9658"
}
],
"practiceLocations": [
{
"address_1": "6241 S Packard Ave",
"address_purpose": "LOCATION",
"city": "Cudahy",
"state": "WI",
"postal_code": "531103031",
"country_code": "US",
"telephone_number": "414-762-9717",
"fax_number": "414-762-9720",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTALDO",
"first_name": "KELLY",
"credential": "PHARM. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-29",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "14572-040",
"primary": true
}
],
"identifiers": [],
"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 Feb 20, 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.