Provider Demographics
NPI:1497043277
Name:KROGMEIER, KATIE E (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KATIE
Middle Name:E
Last Name:KROGMEIER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N65W24838 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SUSSEX
Mailing Address - State:WI
Mailing Address - Zip Code:53089-2670
Mailing Address - Country:US
Mailing Address - Phone:262-946-6363
Mailing Address - Fax:262-946-6364
Practice Address - Street 1:N65W24838 MAIN ST
Practice Address - Street 2:
Practice Address - City:SUSSEX
Practice Address - State:WI
Practice Address - Zip Code:53089-2670
Practice Address - Country:US
Practice Address - Phone:262-946-6363
Practice Address - Fax:262-946-6364
Is Sole Proprietor?:No
Enumeration Date:2011-07-14
Last Update Date:2020-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13372183500000X
WI16580-401835P0018X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist