Active NPI
Kelly Ruef
- Pharmacist
- Janesville, WI
National Provider Identifier
1912277542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14458-040
- Practice address
- 2519 Kettering St
Janesville, WI 53546-1015 - Phone
- (608) 754-0007
- Fax
- (608) 754-0594
- NPI assigned
- Jan 12, 2012
- Last updated
- Jan 12, 2012
- 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 | 14458-040 | WI | Primary |
Addresses
Primary practice location
2519 Kettering St
Janesville, WI 53546-1015
Mailing address
2519 Kettering St
Janesville, WI 53546-1015
Phone (608) 754-0007
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14458-040 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, 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": "1326326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326326400000",
"number": "1912277542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2519 KETTERING ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535461015",
"telephone_number": "608-754-0007",
"fax_number": "608-754-0594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2519 KETTERING ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535461015",
"telephone_number": "608-754-0007",
"fax_number": "608-754-0594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUEF",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-12",
"last_updated": "2012-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "14458-040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.