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Kelly Ann Datka

NPI 1578196267ActiveIndividual· Pharmacist· Waukesha, WI

Pharmacist in Waukesha, Wisconsin, licensed in WI, with an NPI issued in February 2020. Part D covered 44 prescriptions written in 2024, 0% of them generic.

Overview

NPI1578196267
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedFeb 20, 2020
Last updated in NPPESFeb 20, 2020
Certified by providerFeb 20, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X19490-40WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)44 · 44 30-day fills
Patients38
Total drug cost$7,241
Generic share0% of claims

Medicare sources and data years

Other Pharmacist providers in Waukesha

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