Individual provider Active NPI

Thomas Allen Radloff, R.PH.

  • Pharmacist
  • Madison, WI
National Provider Identifier
1073723573
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10802-040 Issued in WI
Practice address
999 Fourier Dr. Suite 301
Madison, WI 53717-2914
Phone
(608) 827-7506
Fax
(608) 827-7535
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10802-040 WI Primary

Addresses

Primary practice location

999 Fourier Dr. Suite 301
Madison, WI 53717-2914

Mailing address

5315 Marsh Woods Dr.
McFarland, WI 53558-9103
Phone (608) 838-6614

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
10802-040WIMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073723573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 MARSH WOODS DR.",
            "city": "MCFARLAND",
            "state": "WI",
            "postal_code": "535589103",
            "telephone_number": "608-838-6614",
            "fax_number": "608-838-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 FOURIER DR. SUITE 301",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172914",
            "telephone_number": "608-827-7506",
            "fax_number": "608-827-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADLOFF",
        "first_name": "THOMAS",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "10802-040",
            "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.