KEALEY PHARMACY & HOME CARE CENTER (NPI# 1033243845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033243845 |
| Entity Type | Organization |
| Organization Name | KEALEY PHARMACY & HOME CARE CENTER |
| Other Organization Name | KEALEY PHARMACY AND HOMECARE INC |
| Practice Address |
21 S Jackson St Janesville WI 53548-3859 |
| Mailing Address |
Po Box 8005 Janesville WI 53547-8005 |
| Practice Telephone | 6087527869 |
| Practice Fax Number | 6087526806 |
| Mailing Telephone | 6087527869 |
| Mailing Fax Number | 6087526806 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2013-06-14 |
| Authorized Official Name | MARK JOHNSON (OWNER / PRESIDENT) |
| Authorized Official Telephone | 6087527869 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
7301-042 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2111847 | 01 | |
| WI | 33117200 | 05 |
| Other Name | Type Code |
|---|---|
| KEALEY PHARMACY AND HOMECARE INC | Doing Business As Name - Organization |
| Street Address |
21 S JACKSON ST |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53548-3859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063564540 | Erin Leigh Smerchek | Pharmacist | 21 S Jackson St, Janesville, WI 53548-3859 | 2007-01-17 |
| 1760950414 | North Star Chiropractic LLC | Chiropractor | 21 S Jackson St, Ste 160, Janesville, WI 53548 | 2018-11-10 |
| 1942753850 | Janesville Hometown Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 21 S Jackson St, Janesville, WI 53548-3859 | 2016-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578846010 | Patricia Ann Sheets | Licensed Vocational Nurse | 316 N. Terrace St., Janbesville, WI 53548 | 2011-09-21 |
| 1760658983 | Kristy Kay Prentice Kerl | Dental Hygienist | 121 Jonathon Dr, Janesville, WI 53548 | 2008-05-07 |
| 1316005978 | City of Janesville | Emergency Medical Technician, Paramedic | 18 N Jackson St, Janesville, WI 53548 | 2006-12-05 |
| 1558464115 | Sarah Louise Hessenauer | Social Worker | 17 S. River St, Suite 254, Janesville, WI 53548 | 2006-09-07 |
| 1073548327 | Mary Katherine Cefalu | Registered Nurse | 17 S. River, Suite 254, Janesville, WI 53548 | 2006-07-12 |
| 1699707950 | Gary Lavern Jones | Counselor | 175 River, Suite 254, Janesville, WI 53548 | 2006-07-07 |
| 1295767424 | Michael Stuart Kaye | Clinical Neuropsychologist | 17 S River St Ste 254, Janesville, WI 53548 | 2006-07-07 |
| 1205864055 | Amy Laurie Roy | Counselor | 17 S River Suite 254, Janesville, WI 53548 | 2006-06-29 |
| 1518903566 | Leota I Larson | Psychologist | 17 S River, Suite 254, Janesville, WI 53548 | 2006-06-20 |
| 1740795608 | Mary Kate Maske | Counselor | 17 S River St Ste 254, Janesville, WI 53548 | 2017-12-13 |
| Find all providers in zip 53548 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528225422 | Walgreen Co | Pharmacy | 2519 Kettering St, Janesville, WI 53546 | 2008-05-19 |
| 1659473767 | Aurora Pharmacy, Inc. | Pharmacy | 2819 N. Lexington Drive, Janesville, WI 53545 | 2006-09-01 |
| 1992815682 | Dean Retail Services, Inc. | Pharmacy | 3200 East Racine Street, Suite 300, Janesville, WI 53546-2343 | 2006-08-30 |
| 1558376442 | Walgreen Co | Pharmacy | 1717 Milton Ave, Janesville, WI 53545-0884 | 2006-07-29 |
| 1700827672 | Wisconsin Cvs Pharmacy LLC | Pharmacy | 1832 W Court St, Janesville, WI 53548-3418 | 2006-06-09 |
| 1942236724 | Mercy Health System Corporation | Pharmacy | 1000 Mineral Point Ave, Janesville, WI 53548-2940 | 2006-06-24 |
| 1467498857 | Mercy Health System Corporation | Pharmacy | 3524 E Milwaukee St, Janesville, WI 53546-1626 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816939 | The Duluth Clinic, Ltd. | Pharmacy | 204 Belknap St, Ste 100, Superior, WI 54880-2964 | 2020-09-16 |
| 1902417207 | Ipack Pharmacy LLC | Pharmacy | 17000 W North Ave Ste 108w, Brookfield, WI 53005-4423 | 2020-08-11 |
| 1851939037 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 10180 Washington Ave Ste 102, Mount Pleasant, WI 53177-1604 | 2019-12-18 |
| 1558906354 | Life Change Rx 4 LLC | Pharmacy | 6300 N 76th St Ste 246, Milwaukee, WI 53218-1208 | 2019-11-15 |
| 1285278978 | Life Change Rx 3 LLC | Pharmacy | 7115 W Capitol Dr, Milwaukee, WI 53216-2051 | 2019-11-05 |
| 1295377703 | Hayat Pharmacy 21 LLC. | Pharmacy | 2333 Northwestern Ave Ste 120, Racine, WI 53404-2520 | 2019-10-16 |
| 1487296737 | Xperience Pharmacy LLC | Pharmacy | 5715 W Appleton Ave, Milwaukee, WI 53210-2250 | 2019-10-08 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1275182925 | Walgreen Co | Pharmacy | 2265 N Mayfair Rd, Wauwatosa, WI 53226-2207 | 2019-09-05 |
| 1982257200 | Hayat Pharmacy 16 LLC | Pharmacy | 603 N 36th St, Milwaukee, WI 53208-3826 | 2019-07-17 |
| Find all providers with the same taxonomy | ||||
| City | JANESVILLE |
| Zip Code | 53548 |
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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.