DR. JACK MOHEB ISKANDER (NPI# 1124284021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124284021 |
| Entity Type | Individual |
| Full Name | DR. JACK MOHEB ISKANDER |
| Credential | PHARM.D |
| Practice Address |
2500 Overlook Terrace Madison WI 53705 |
| Mailing Address |
7421 Old Sauk Rd. #304 Madison WI 53717 |
| Practice Telephone | 6082561901 |
| Mailing Telephone | 5044276308 |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
018491 | LA | Pharmacy Service Providers |
| Street Address |
2500 OVERLOOK TERRACE |
| City | MADISON |
| State | WI |
| Zip Code | 53705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497788392 | Robert William Waterman Jr. | Psychiatry & Neurology | 2500 Overlook Terrace, Madison, WI 53705-2286 | 2006-07-07 |
| 1811515638 | Hannah Hecht | Pharmacist | 2500 Overlook Terrace, Pharmacy Department, Madison, WI 53705 | 2020-07-08 |
| 1932724846 | Stephanie D Eickman | Pharmacist | 2500 Overlook Terrace, Pharmacy Service (119), Madison, WI 53705 | 2020-06-16 |
| 1740834290 | Emily Downey | Nurse Practitioner | 2500 Overlook Terrace, Madison, WI 53705 | 2019-08-01 |
| 1093367211 | Emily Mary Fong | Pharmacist | 2500 Overlook Terrace, Pharmacy Dept, Madison, WI 53705 | 2019-07-09 |
| 1780241646 | Kate Angela Borromeo | Student in an Organized Health Care Education/Training Program | 2500 Overlook Terrace, Madison, WI 53705-5370 | 2019-05-24 |
| 1356869986 | Chad Glenn Colwell | Pharmacist | 2500 Overlook Terrace, Madison, WI 53705 | 2017-09-04 |
| 1558721860 | Madison Vamc | Skilled Nursing Facility | 2500 Overlook Terrace, Madison, WI 53705-2254 | 2016-02-29 |
| 1881097871 | Carmen Rae Jahn | Registered Nurse | 2500 Overlook Terrace, Madison, WI 53703 | 2014-10-03 |
| 1720494719 | Kimberly Wurtz | Pharmacist | 2500 Overlook Terrace, William S. Middleton Memorial Va Hospital, Madison, WI 53705-2286 | 2014-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629563986 | Magdalena Maria Siodlak | Pharmacist | 2500 Overlook Terrace (119), Madison, WI 53705 | 2018-06-28 |
| 1104343243 | Aisling Margaret Tallman | Physician Assistant | 725 University Row, Apt 124, Madison, WI 53705 | 2017-08-29 |
| 1346785938 | Rachel Maria Sanabria | Social Worker | 4513 Vernon Blvd Ste 100, Madison, WI 53705 | 2017-01-05 |
| 1124482856 | Samantha Jo Juve | Social Worker | 313 Price Pl Ste 212, Madison, WI 53705 | 2016-04-08 |
| 1912373002 | Brittany Dennis | Counselor | 5005 University Avenue, Suite 100, Madison, WI 53705 | 2015-08-12 |
| 1225456981 | John Martin Floberg | Radiology | 2140, Med 4 Mailbox, Hslc, 750 Highland Ave., Madison, WI 53705 | 2014-03-31 |
| 1457693319 | Matthew Ryan May-curry | Psychiatry & Neurology | 2500 Overlook Ter # 116a, Madison, WI 53705 | 2013-03-19 |
| 1396083168 | Madison Psychiatric & Psychological Services | Psychiatry & Neurology | 702 N. Blackhawk Ave, #100, Madison, WI 53705 | 2013-01-29 |
| 1174872808 | Natasha Bulat | Massage Therapist | 5317 Old Middleton Rd, Room #102, 'hot Stone Therapy & Massage', Madison, WI 53705 | 2012-09-10 |
| 1033401609 | Ann B Braus | Family Medicine | 6209 Mineral Point Rd, Madison, WI 53705 | 2011-05-13 |
| Find all providers in zip 53705 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508311028 | Koshy Mathew | Pharmacist | 122 Mcdill Cv, Madison, MS 39110-6562 | 2016-08-25 |
| 1245629716 | Donald Lee Michalski | Pharmacist | 1 Classic Cir, Madison, WI 53719-4437 | 2015-01-21 |
| 1467840801 | Pooja Arora | Pharmacist | 7545 Tree Ln Apt 102g, Madison, WI 53717-2185 | 2015-01-08 |
| 1962702399 | Connie Kroll Kraus | Pharmacist | 701 Dane St. Access Community Health Center, Wingra Family Medical Center, Madison, WI 53713-1900 | 2010-11-02 |
| 1861015174 | Donald Marlowe | Pharmacist | 4579 Wall Triana Hwy, Madison, AL 35758-9305 | 2020-05-20 |
| 1144850140 | Carol P Wisdom | Pharmacist | 4579 Wall Triana Hwy, Madison, AL 35758-9305 | 2020-01-19 |
| 1083253272 | Susan Carol Storm | Pharmacist | 525 E Clifty Dr, Madison, IN 47250-1672 | 2020-01-06 |
| 1669011185 | Vanessa Wrightsman | Pharmacist | 525 E Clifty Dr, Madison, IN 47250-1672 | 2020-01-01 |
| 1982243622 | Mandy Jo Collins | Pharmacist | 525 E Clifty Dr, Madison, IN 47250-1672 | 2019-12-28 |
| 1467090258 | Chad Franklin Stewart | Pharmacist | 115 Colony Crossing Way, Madison, MS 39110 | 2019-12-12 |
| Find all providers in MADISON | ||||
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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.