NPIMap

Organization Active NPI

University of Wisconsin Hospitals and Clinics Authority

  • Pharmacy
  • Madison, WI
National Provider Identifier
1104918325
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
6986 Issued in WI
Legal business name
UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY
Practice address
2880 University Ave
Room 177
Madison, WI 53705-3644
Phone
(608) 263-9393
Fax
(608) 263-7945
NPI assigned
Sep 28, 2006
Organization subpart
Yes
Parent organization
UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Alan Kaplan, MD
Title
Ceo
Phone
(608) 263-7013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 6986 WI Primary

Addresses

Primary practice location

2880 University Ave
Room 177
Madison, WI 53705-3644

Mailing address

600 Highland Ave
Pharmacy F6/133
Madison, WI 53792-1530
Phone (608) 263-1290

Other identifiers 4

IdentifierTypeStateIssuer
33211800MedicaidWI
6986OtherWIPHARMACY LICENSE NO
0641600005OtherPTAN (PHARMACY MEDICARE PROVIDER NUMBER)
5121455OtherWINCPDP NO

Other names 1

  • Univeristy Station Remote Dispensing Services Other name

National Provider Directory

National Provider Directory
Part of
St Lab of Hygiene

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1104918325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "address_2": "PHARMACY F6/133",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537921530",
            "telephone_number": "608-263-1290",
            "fax_number": "608-263-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 UNIVERSITY AVE",
            "address_2": "ROOM 177",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537053644",
            "telephone_number": "608-263-9393",
            "fax_number": "608-263-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-263-7013",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "6986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33211800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE NO",
            "identifier": "6986",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN (PHARMACY MEDICARE PROVIDER NUMBER)",
            "identifier": "0641600005",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NO",
            "identifier": "5121455",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Univeristy Station Remote Dispensing Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 7, 2023; 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.