WISCONSIN CVS PHARMACY LLC (NPI# 1538463492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538463492 |
| Entity Type | Organization |
| Organization Name | WISCONSIN CVS PHARMACY LLC |
| Other Organization Name | TARGET PHARMACY |
| Practice Address |
750 Hilldale Way Madison WI 53705-2644 |
| Mailing Address |
1 Cvs Dr Mail Code 1090 Woonsocket RI 02895-6146 |
| Practice Telephone | 6088073979 |
| Practice Fax Number | 6088073989 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2016-01-11 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
9060-42 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1538463492 | 05 | |
| PK | 2128274 | 01 |
| Other Name | Type Code |
|---|---|
| Target Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508299926 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1736 W. 9th Ave., Oshkosh, WI 54902 | 2013-08-21 |
| 1194158303 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1700 Milton Ave., Janesville, WI 53545-0833 | 2013-08-12 |
| 1407298383 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2410 8th St S, Wisconsin Rapids, WI 54494-6159 | 2013-07-22 |
| 1831537869 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 102 Central Bridge St, Wausau, WI 54401-2944 | 2013-06-12 |
| 1376899120 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4301 W Wisconsin Ave Ste 42, Appleton, WI 54913-6524 | 2012-07-31 |
| 1225398738 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12725 W Bluemound Rd, Brookfield, WI 53005-8032 | 2012-05-18 |
| 1396014908 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | N83 W15550 Appleton Avenue, Menomonee Falls, WI 53051 | 2011-12-28 |
| 1467720037 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6701 Mineral Point Road, Madison, WI 53705-4241 | 2011-12-09 |
| 1225305865 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7552 W. Oklahoma Ave., West Allis, WI 53219-2860 | 2011-11-28 |
| 1952678591 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 605 W. Cottage Grove Rd., Cottage Grove, WI 53527-9222 | 2011-11-28 |
| Street Address |
750 HILLDALE WAY |
| City | MADISON |
| State | WI |
| Zip Code | 53705-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023468626 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 750 Hilldale Way, Madison, WI 53705-2644 | 2016-06-15 |
| 1083020309 | Jingping Xu | Optometrist | 750 Hilldale Way, Madison, WI 53705 | 2014-07-08 |
| 1124469358 | Daniel R. Mccoy | Pharmacist | 750 Hilldale Way, Madison, WI 53705-2644 | 2013-07-16 |
| 1619220183 | Jeremy Richard Ott-holland | Pharmacist | 750 Hilldale Way, Madison, WI 53705-2644 | 2012-10-22 |
| 1568723054 | Jeffrey Robertson | Pharmacist | 750 Hilldale Way, Madison, WI 53705-2644 | 2012-05-31 |
| 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 | 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.