Individual provider Active NPI

Reginald Zachary Kamps

  • Pharmacist
  • Platteville, WI
National Provider Identifier
1972136653
Registry record updated Mar 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17982-40 Issued in WI
Practice address
675 S Water St
Platteville, WI 53818-3608
Phone
(608) 348-7611
Fax
(608) 348-7617
NPI assigned
Feb 20, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17982-40 WI Primary

Addresses

Primary practice location

675 S Water St
Platteville, WI 53818-3608

Mailing address

675 S Water St
Platteville, WI 53818-3608
Phone (608) 348-7611

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

LicenseStateTypeSpecialty
17982-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Apr 10, 2022 Accepting new patients

Locations

675 S Water St
Platteville, WI 53818
Phone (608) 318-7611

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583625600000",
    "number": "1972136653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 S WATER ST",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538183608",
            "telephone_number": "608-348-7611",
            "fax_number": "608-348-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 S WATER ST",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538183608",
            "telephone_number": "608-348-7611",
            "fax_number": "608-348-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMPS",
        "first_name": "REGINALD",
        "middle_name": "ZACHARY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-03-08",
        "certification_date": "2020-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "17982-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Platteville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.