Active NPI
Eric Clinton Hewitt, PHARMD
- Pharmacist
- Madison, WI
National Provider Identifier
1245337591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14790
- Practice address
- 4604 Monona Dr Ste B
Madison, WI 53716-1062 - Phone
- (608) 221-8151
- Fax
- (608) 221-4682
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14790 | WI | Primary |
Addresses
Primary practice location
4604 Monona Dr Ste B
Madison, WI 53716-1062
Mailing address
2 Littlemore Court
Madison, WI 53718
Phone (608) 221-8151
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14790 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastside Pharmacy Associates, LTD | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
- Monona, WI
- NPI 1841302767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245337591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 LITTLEMORE COURT",
"city": "MADISON",
"state": "WI",
"postal_code": "53718",
"telephone_number": "608-221-8151",
"fax_number": "608-221-4682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4604 MONONA DR STE B",
"city": "MADISON",
"state": "WI",
"postal_code": "537161062",
"telephone_number": "608-221-8151",
"fax_number": "608-221-4682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEWITT",
"first_name": "ERIC",
"middle_name": "CLINTON",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "14790",
"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.