DR. CORMAC KEHOE (NPI# 1316162217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316162217 |
| Entity Type | Individual |
| Full Name | DR. CORMAC KEHOE |
| Credential | RPH |
| Practice Address |
2555 N Dr Martin Luther King Dr Pharmacy Milwaukee WI 53212-2709 |
| Mailing Address |
2011 N Prospect Ave #14 Milwaukee WI 53202-1148 |
| Practice Telephone | 4142673708 |
| Mailing Telephone | 4144052090 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 14352-040 | WI | Pharmacy Service Providers |
| Street Address |
2555 N DR MARTIN LUTHER KING DR PHARMACY |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53212-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235231085 | Mckinley Petty IIi | Family Medicine | 2555 N Dr Martin Luther King Dr, Milwaukee Health Services Inc, Milwaukee, WI 53212-2709 | 2006-09-02 |
| 1558747352 | Christopher Derek Johnson | Pharmacist | 2555 N Dr Martin Luther King Dr, Milwaukee, WI 53212-2709 | 2015-08-04 |
| 1528483542 | Angelia Raychell Wilks-tate | Dietitian, Registered | 2555 N Dr Martin Luther King Dr, Milwaukee, WI 53212-2709 | 2014-02-27 |
| 1164853990 | Sara Doschadis Atteberry | Registered Nurse | 2555 N Dr Martin Luther King Dr, Milwaukee, WI 53212 | 2013-12-04 |
| 1043657505 | Richard Lightsey II | Dentist | 2555 N Dr Martin Luther King Dr, Milwaukee, WI 53212-2709 | 2013-05-23 |
| 1861626012 | Julie Joy Noel | Advanced Practice Midwife | 2555 N Dr Martin Luther King Dr, Milwaukee, WI 53212-2709 | 2009-05-02 |
| 1881892396 | Karen Mary Miller | Nutritionist | 2555 N Dr Martin Luther King Dr, Milwaukee Health Services Inc, Milwaukee, WI 53212-2709 | 2007-07-05 |
| 1518005818 | Milwaukee Health Services Inc | Clinic/Center | 2555 N Dr Martin Luther King Dr, Milwaukee, WI 53212-2709 | 2007-02-01 |
| 1861539421 | Carla Louise Wright | Physical Medicine & Rehabilitation | 2555 N Dr Martin Luther King Dr, Milwaukee Health Services Inc, Milwaukee, WI 53212-2709 | 2007-01-31 |
| 1104963784 | Michelle Natalie Dacosta | Dentist | 2555 N Dr Martin Luther King Dr, Milwaukee Health Services Inc, Milwaukee, WI 53212-2709 | 2007-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481001 | Beth Leanna | Counselor | Benedict Center 1849 N Dr. Marin Luther King Dr., Suite 101, Milwaukee, WI 53212 | 2020-09-11 |
| 1326683749 | A.b.d.h. Counseling Services LLC | Clinic/Center | 518 E Concordia Avenue, Milwaukee, WI 53212 | 2019-11-08 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1386293330 | Rachel Mae Nelson Bagha | Student in an Organized Health Care Education/Training Program | 1849 N Doctor M.l.k. Jr Dr #101, Milwaukee, WI 53212 | 2019-09-11 |
| 1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
| 1649733189 | Stacey King | Counselor | Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 | 2019-04-11 |
| 1710447701 | Scott William Stauder | Student in an Organized Health Care Education/Training Program | 1121 E. North Ave., Milwaukee, WI 53212 | 2019-03-25 |
| 1821561168 | Lydia Ann Mendez | Counselor | 3703 N Richards St, Milwaukee, WI 53212 | 2019-01-09 |
| 1851863302 | Glen Victor Fleming | Counselor | 2821 North 4th Street Suite 210, Milwaukee, WI 53212 | 2018-12-21 |
| 1093285140 | Megan Marie Volp | Advanced Practice Midwife | 2555 N Doctor M.l.k. Jr Dr, Milwaukee, WI 53212 | 2018-12-03 |
| Find all providers in zip 53212 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425784 | Seang Foo | Pharmacist | 875 E Wisconsin Ave # Ms 2870, Milwaukee, WI 53202-5404 | 2020-10-23 |
| 1790383420 | Lisa Goetzinger | Pharmacist | 8100 N 124th St, Milwaukee, WI 53224-3800 | 2020-10-14 |
| 1205440203 | Teresa Lee Luebbering | Pharmacist | 5185 S 9th St # 1, Milwaukee, WI 53221-3627 | 2020-09-07 |
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1649889767 | Sarah Sugden | Pharmacist | 1726 N 1st St Apt 103, Milwaukee, WI 53212-3907 | 2020-07-24 |
| 1639796808 | Devin Noelle Valpatic | Pharmacist | 2900 W Oklahoma Ave # 1001, Milwaukee, WI 53215-4330 | 2020-07-02 |
| 1588289813 | Ahmed Gamal Abou Mohamed | Pharmacist | 11011 W North Ave Apt 255, Milwaukee, WI 53226-2267 | 2020-06-12 |
| 1801415500 | Elena Maloletko | Pharmacist | 2611 N Stowell Ave Apt E, Milwaukee, WI 53211-4222 | 2020-04-13 |
| 1649807801 | Stacy Anne Doyle | Pharmacist | 875 E Wisconsin Ave # Ms -2870, Milwaukee, WI 53202-5404 | 2020-03-26 |
| 1679108997 | Andrew Budzynski | Pharmacist | 2500 W Layton Ave Ste 150, Milwaukee, WI 53221-5421 | 2020-03-06 |
| Find all providers in MILWAUKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.