Individual provider Active NPI

Amy Sheahan, PHARMD

  • Pharmacist
  • Madison, WI
National Provider Identifier
1225377518
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14419-40 Issued in WI
Practice address
2650 Novation Pkwy Ste 400
Madison, WI 53713-3399
Phone
(608) 417-4580
Fax
(608) 327-0324
NPI assigned
Feb 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 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 14419-40 WI Primary

Addresses

Primary practice location

2650 Novation Pkwy Ste 400
Madison, WI 53713-3399

Mailing address

2650 Novation Pkwy Ste 400
Madison, WI 53713-3399
Phone (608) 417-4580

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

LicenseStateTypeSpecialty
14419-40WIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1225377518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 NOVATION PKWY STE 400",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537133399",
            "telephone_number": "608-417-4580",
            "fax_number": "608-327-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 NOVATION PKWY STE 400",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537133399",
            "telephone_number": "608-417-4580",
            "fax_number": "608-327-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEAHAN",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "14419-40",
            "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 Feb 6, 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.