ATHLETE PHARMACIST LLC


Address: 211 Nautilus Dr Apt 8, Madison, WI 53705-4358
Phone: 4142070309

ATHLETE PHARMACIST LLC (NPI# 1649520008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649520008
Entity Type Organization
Organization Name ATHLETE PHARMACIST LLC
Practice Address 211 Nautilus Dr Apt 8
Madison
WI 53705-4358
Practice Telephone 4142070309
Mailing Telephone 4142070309
Enumeration Date 2012-09-13
Last Update Date 2012-09-13
Authorized Official Name DR. MARK V LORSON II (CEO)
Authorized Official Telephone 4142070309
Authorized Official Credential PHARMD, CGP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QP0905X Clinic/Center
Specialization: Public Health, State or Local
Ambulatory Health Care Facilities
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 211 NAUTILUS DR APT 8
City MADISON
State WI
Zip Code 53705-4358

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164797353 Mark Vernon Lorson II Pharmacist 211 Nautilus Dr Apt 8, Madison, WI 53705-4358 2012-03-20

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City MADISON
Zip Code 53705

Improve Information

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Dataset Information

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.

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