OrganizationActive
Kaukauna Prescription Center
NPI 1376615575 · Community/Retail Pharmacy · Kaukauna, WI
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(90/100 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.