Individual provider Active NPI

William K Caldes, RPH

  • Pharmacist
  • Owatonna, MN
National Provider Identifier
1982988580
Registry record updated Oct 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
118689 Issued in MN
Practice address
125 18TH St SE
Owatonna, MN 55060-4001
Phone
(507) 451-8326
Fax
(507) 451-9543
NPI assigned
Oct 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 118689 MN Primary

Addresses

Primary practice location

125 18TH St SE
Owatonna, MN 55060-4001

Mailing address

1418 Bluff St
Dundas, MN 55019-3980
Phone (507) 581-3604

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
118689MNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients

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": "1317427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317427200000",
    "number": "1982988580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 BLUFF ST",
            "city": "DUNDAS",
            "state": "MN",
            "postal_code": "550193980",
            "telephone_number": "507-581-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 18TH ST SE",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604001",
            "telephone_number": "507-451-8326",
            "fax_number": "507-451-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDES",
        "first_name": "WILLIAM",
        "middle_name": "K",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-01",
        "last_updated": "2011-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "118689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owatonna, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.

Verify at the official NPI Registry.