Active NPI
Kathy K Koenig
- Pharmacist
- Madison, WI
National Provider Identifier
1962726596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10882-040
- Practice address
- 1821 S Stoughton Rd
Suite 300
Madison, WI 53716-2257 - Phone
- (608) 260-6500
- Fax
- (608) 260-6510
- NPI assigned
- Mar 25, 2010
- 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 | 10882-040 | WI | Primary |
Addresses
Primary practice location
1821 S Stoughton Rd
Suite 300
Madison, WI 53716-2257
Mailing address
1821 S Stoughton Rd
Madison, WI 53716-2257
Phone (608) 260-6500
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 |
|---|---|---|---|
| 10882-040 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dean Retail Services, Inc. | Past | Accepting new patients | |
| Dean Retail Services, Inc. | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Madison, WI
- NPI 1407966195
-
- Community/Retail Pharmacy
- Sun Prairie, WI
- NPI 1467562157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312243200000",
"number": "1962726596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 S STOUGHTON RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537162257",
"telephone_number": "608-260-6500",
"fax_number": "608-260-6510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 S STOUGHTON RD",
"address_2": "SUITE 300",
"city": "MADISON",
"state": "WI",
"postal_code": "537162257",
"telephone_number": "608-260-6500",
"fax_number": "608-260-6510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOENIG",
"first_name": "KATHY",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-25",
"last_updated": "2011-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "10882-040",
"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 Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.