Individual provider Active NPI

Madison Anne Partridge

  • Pharmacist
  • Olympia, WA
National Provider Identifier
1154933133
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH61083277 Issued in WA
Practice address
3215 Harrison Ave NW
Olympia, WA 98502-8704
Phone
(609) 563-8273
NPI assigned
Aug 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X P461098155 WA
Pharmacist 183500000X PH61083277 WA Primary

Addresses

Primary practice location

3215 Harrison Ave NW
Olympia, WA 98502-8704

Mailing address

1775 Columbia Park TRL # D-135
Richland, WA 99352-4822
Phone (563) 343-8792

Other practice location 1

2800 W Clearwater Ave
Kennewick, WA 99336-2945
Phone (509) 783-5412

Other practice location 2

4000 W 27th Ave
Kennewick, WA 99337-2422
Phone (509) 582-7781

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
P461098155WAMDPharmacist
PH61083277WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Mar 6, 2022 Accepting new patients
Walgreen Co PastSince Nov 1, 2020 Accepting new patients
Walgreen Co PastSince Aug 1, 2020 Accepting new patients

Locations

2800 W Clearwater Ave
Kennewick, WA 99336
Phone (509) 783-5412

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1154933133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 COLUMBIA PARK TRL # D-135",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524822",
            "telephone_number": "563-343-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 HARRISON AVE NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028704",
            "telephone_number": "609-563-8273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 W Clearwater Ave",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993362945",
            "country_code": "US",
            "telephone_number": "509-783-5412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 W 27th Ave",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993372422",
            "country_code": "US",
            "telephone_number": "509-582-7781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARTRIDGE",
        "first_name": "MADISON",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "P461098155",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH61083277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.

Verify at the official NPI Registry.