Active NPI
Theresa Cuccia-Dillard, PHARMD
- Pharmacist
- Madison, WI
National Provider Identifier
1033708979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9183-42
- Practice address
- 2033 Fish Hatchery Rd
Madison, WI 53713-1238 - Phone
- (608) 268-0355
- NPI assigned
- Jan 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9183-42 | WI | Primary |
Addresses
Primary practice location
2033 Fish Hatchery Rd
Madison, WI 53713-1238
Mailing address
PO Box 259686
Madison, WI 53725-9686
Phone (608) 268-0355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9183-42 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Council of Madison Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Madison, WI
- NPI 1982943924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1033708979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 259686",
"city": "MADISON",
"state": "WI",
"postal_code": "537259686",
"telephone_number": "608-268-0355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2033 FISH HATCHERY RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537131238",
"telephone_number": "608-268-0355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUCCIA-DILLARD",
"first_name": "THERESA",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-14",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "9183-42",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.