Kassandra Bartelme, PHARM.D.
Individual provider Active NPI Pharmacist · Mequon, WI
NPI 1881823367 · NPPES record last updated Jul 25, 2024
Key facts
- NPI
- 1881823367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 15832-40 (WI)
- Practice address
- 13111 N Port Washington Rd
Attn: Inpatient Pharmacy
Mequon, WI 53097-2416 - Phone
- (262) 243-2790
- NPI assigned
- Jul 6, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119712 | MN | MD | Pharmacist |
| 15832-40 | WI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 119712 | MN | |
| Pharmacist | 183500000X | 15832-40 | WI | Yes |
Addresses
Primary practice location
13111 N Port Washington Rd
Attn: Inpatient Pharmacy
Mequon, WI 53097-2416
Mailing address
12800 N Lake Shore Dr
Mequon, WI 53097-2418
Phone (262) 243-2790
Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.