DEAN RETAIL SERVICES, INC. (NPI# 1407966195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407966195 |
| Entity Type | Organization |
| Organization Name | DEAN RETAIL SERVICES, INC. |
| Other Organization Name | SSN HEALTH PHARMACY |
| Practice Address |
1821 S. Stoughton Rd. Suite 300 Madison WI 53716-2257 |
| Mailing Address |
1277 Deming Way Madison WI 53717-1971 |
| Practice Telephone | 6082606500 |
| Practice Fax Number | 6082606510 |
| Mailing Telephone | 6088242687 |
| Mailing Fax Number | 6088242690 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | AMY JO GRINNELL (VP FINANCE) |
| Authorized Official Telephone | 6082603586 |
| Is Organization Subpart | Y |
| Parent Organization Name | DEAN HEALTH SYSTEMS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33271500 | 05 |
| Other Name | Type Code |
|---|---|
| SSM Health Pharmacy | Doing Business As Name - Organization |
| SSN Health Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265052211 | Dean Retail Services, Inc. | Pharmacy | 310 Integrity Dr, Madison, WI 53717-1416 | 2020-04-20 |
| 1851851141 | Dean Retail Services, Inc. | Pharmacy | 740 Reena Ave Ste 300, Fort Atkinson, WI 53538-3145 | 2019-03-22 |
| 1972082881 | Dean Retail Services, Inc. | Pharmacy | 2825 Hunters Trl Ste 300, Portage, WI 53901-3429 | 2018-08-10 |
| 1194227694 | Dean Retail Services, Inc. | Pharmacy | 752 N High Point Rd Ste L701, Madison, WI 53717-2236 | 2018-03-01 |
| 1942323795 | Dean Retail Services, Inc. | Eyewear Supplier (Equipment, not the service) | 1821 S Stoughton Rd Ste 200, Madison, WI 53716-2257 | 2007-04-09 |
| 1457461147 | Dean Retail Services, Inc. | Pharmacy | 753 N. Main St, Suite 300, Oregon, WI 53575-1003 | 2006-08-30 |
| 1780794479 | Dean Retail Services, Inc. | Pharmacy | 752 N. High Point Rd, Suite 300, Madison, WI 53717-2236 | 2006-08-30 |
| 1992815682 | Dean Retail Services, Inc. | Pharmacy | 3200 East Racine Street, Suite 300, Janesville, WI 53546-2343 | 2006-08-30 |
| 1124450416 | Dean Retail Services, Inc. | Eyewear Supplier (Equipment, not the service) | 1300 S Century Ave, Suite 200, Waunakee, WI 53597-2386 | 2013-08-08 |
| 1851414601 | Dean Retail Services, Inc. | Eyewear Supplier (Equipment, not the service) | 752 N High Point Rd, Suite 200, Madison, WI 53717-2236 | 2007-04-09 |
| Street Address |
1821 S. STOUGHTON RD. SUITE 300 |
| City | MADISON |
| State | WI |
| Zip Code | 53716-2257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738873 | Richard Onyait | Technician | 1103 Birch Haven Cir, Monona, WI 53716 | 2019-09-11 |
| 1962950428 | Paige Corliss | Pharmacist | 1821 S. Stoughton Road, Madison, WI 53716 | 2016-09-13 |
| 1760840946 | Stacey Palermo | Marriage & Family Therapist | 303 Frost Woods Rd, Monona, WI 53716 | 2016-02-03 |
| 1326414442 | Diane Marie Kelley | Nurse Practitioner | 300 Femrite Drive, Monona, WI 53716 | 2015-08-12 |
| 1942692520 | Kelsey Lynn Markham | Counselor | 5900 Monona Drive, Suite 100, Monona, WI 53716 | 2015-02-19 |
| 1225452733 | Nicole Moscinski | Marriage & Family Therapist | 6117 Monona Dr Ste 1b, Monona, WI 53716 | 2014-02-05 |
| 1013345644 | Emma Amanda Rose | Physician Assistant | 521 Bowman Ave., Madison, WI 53716 | 2013-10-16 |
| 1407154271 | Jennifer Orshak | Registered Nurse | 5410 Forge Drive, Madison, WI 53716 | 2011-03-03 |
| 1982906525 | Jennifer Chun | Dentist | 100 River Pl Ste 110, Monona, WI 53716 | 2010-12-02 |
| 1609041987 | Jennifer A Britain | Physical Therapist | 1821 South Stoughton Rd, Madison, WI 53716 | 2008-04-28 |
| Find all providers in zip 53716 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487219192 | Morgan County, Georgia Hospital Authority | Pharmacy | 1740 Lions Club Road, Madison, GA 30650 | 2019-05-08 |
| 1194227694 | Dean Retail Services, Inc. | Pharmacy | 752 N High Point Rd Ste L701, Madison, WI 53717-2236 | 2018-03-01 |
| 1578955381 | Uptown Pharmacy | Pharmacy | 1042 Gluckstadt Rd, Suite D, Madison, MS 39110-6981 | 2015-03-03 |
| 1346651296 | Roundys Supermarkets Inc | Pharmacy | 6010 Cottage Grove Rd, Madison, WI 53718-1300 | 2014-05-14 |
| 1831536648 | Keystone Pharmacy, LLC | Pharmacy | 118 Weisenberger Road, Sutie #400, Madison, MS 39110 | 2013-06-03 |
| 1376885152 | Hy Vee Inc | Pharmacy | 675 S Whitney Way, Madison, WI 53711-1034 | 2013-03-20 |
| 1982943924 | District Council of Madison Inc | Pharmacy | 2033 Fish Hatchery Rd, Madison, WI 53725-9686 | 2013-02-12 |
| 1801028030 | Hy Vee Inc | Pharmacy | 3801 E Washington Ave, Madison, WI 53704-3648 | 2009-08-21 |
| 1780875955 | Walgreen Co | Pharmacy | 129 Clifty Dr, Madison, IN 47250-1601 | 2007-08-05 |
| 1225238926 | Roundys Supermarkets Inc | Pharmacy | 3650 University Ave, Madison, WI 53705-2143 | 2007-07-20 |
| 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.