OrganizationActive
Kaukauna Prescription Center
NPI 1376615575 · Community/Retail Pharmacy · Kaukauna, WI
Kaukauna Prescription Center is a Community/Retail Pharmacy organization in Kaukauna, WI (NPI 1376615575).
Provider details
- NPI number
- 1376615575
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jerome Wallenfang, Owner and Ceo(920) 766-9200
- License
- 8079042 (WI)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 E 2nd St
Kaukauna, WI 54130-2524
Phone: (920) 766-9200
Fax: (920) 766-7998
Street-level locationGet directions
Mailing address
200 E 2nd St
Kaukauna, WI 54130-2524
Other names (DBA / former)
- Doing business as
- Consumer Prescription Center
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 2025-09-11
Frequently asked questions
- What is Kaukauna Prescription Center's NPI number?
- Kaukauna Prescription Center's National Provider Identifier (NPI) is 1376615575, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kaukauna Prescription Center?
- Kaukauna Prescription Center is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Kaukauna Prescription Center located?
- Kaukauna Prescription Center's practice location on file with NPPES is 200 E 2nd St, Kaukauna, WI 54130-2524.
- What is Kaukauna Prescription Center's phone number?
- The practice phone number listed in the NPPES registry for Kaukauna Prescription Center is (920) 766-9200.
- Who is the authorized official for Kaukauna Prescription Center?
- The authorized official listed on Kaukauna Prescription Center's NPPES record is Jerome Wallenfang, Owner and Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kaukauna Prescription Center's NPI active?
- Yes — Kaukauna Prescription Center's NPI (1376615575) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.