Kindred Pharmacy Services

Primary specialty

PharmacyTaxonomy code 333600000X

License

8456042 Issued in WI

Legal business name

KINDRED PHARMACY SERVICES

Practice address

5055 S Emmer Dr
New Berlin, WI 53151-7361

Phone

(262) 641-0723

Fax

(262) 641-0619

NPI assigned

Jul 11, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Jill Susan Czebotar, RPH

Title

Manager

Phone

(262) 641-0723

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912905381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 S EMMER DR",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531517361",
            "telephone_number": "262-641-0723",
            "fax_number": "262-641-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 S EMMER DR",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531517361",
            "telephone_number": "262-641-0723",
            "fax_number": "262-641-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED PHARMACY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CZEBOTAR",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "262-641-0723",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "8456042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33280500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Kemmerling, O.D.
• Robert A Kessler, DO
• Nancilyn K Ketola, MS, CCC-SLP
• Meghan Kiernan, LPC
• Soo Ah Kim, M.D
• James King, M.D.
• Courtney Malina Kinney, PT
• Susan Schober Kinosian, P.T.
• Annette T. Kirkish-Mayer, OTR
• Jaclyn Kitzinger, NP

• Pharmacy in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.