Individual provider Active NPI

Nathan Daniel Votroubek

  • Pharmacist
  • Madison, WI
National Provider Identifier
1073949111
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17274-40 Issued in WI
Practice address
7514 Tree LN Apt 2
Madison, WI 53717-1691
Phone
(319) 551-4921
NPI assigned
Sep 20, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17274-40 WI Primary

Addresses

Primary practice location

7514 Tree LN Apt 2
Madison, WI 53717-1691

Mailing address

7514 Tree LN Apt 2
Madison, WI 53717-1691
Phone (319) 551-4921

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

State licenses

LicenseStateTypeSpecialty
17274-40WIMDPharmacist

Interoperability endpoints

  • Direct secure messaging: nvotroubek14837@uihcdirect.org

NPI Registry JSON

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1073949111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7514 TREE LN APT 2",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171691",
            "telephone_number": "319-551-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7514 TREE LN APT 2",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171691",
            "telephone_number": "319-551-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOTROUBEK",
        "first_name": "NATHAN",
        "middle_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-20",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "17274-40",
            "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 Sep 24, 2013; 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.