Active NPI
Kelly Rogers
- Pharmacist
- Madison, WI
National Provider Identifier
1952917221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20525-40
- Practice address
- 675 S Whitney Way
Madison, WI 53711-1034 - Phone
- (608) 277-6731
- NPI assigned
- Sep 21, 2020
- Last updated
- Sep 21, 2020
- 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 | 20525-40 | WI | Primary |
Addresses
Primary practice location
675 S Whitney Way
Madison, WI 53711-1034
Mailing address
920 Halcyon Days CT
Oregon, WI 53575-3713
Phone (608) 577-2075
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 |
|---|---|---|---|
| 20525-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1952917221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 HALCYON DAYS CT",
"city": "OREGON",
"state": "WI",
"postal_code": "535753713",
"telephone_number": "608-577-2075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 S WHITNEY WAY",
"city": "MADISON",
"state": "WI",
"postal_code": "537111034",
"telephone_number": "608-277-6731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-21",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "20525-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.