Active NPI
Trevor William Price, PHARMD
- Pharmacist
- Madison, WI
National Provider Identifier
1275164881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22322-40
- Practice address
- 925 Vilas Ave # 2
Madison, WI 53715-1509 - Phone
- (203) 993-4082
- NPI assigned
- Feb 1, 2020
- 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 | 22322-40 | WI | Primary |
Addresses
Primary practice location
925 Vilas Ave # 2
Madison, WI 53715-1509
Mailing address
401 W 39TH St Apt 210
Austin, TX 78751-4928
Phone (203) 993-4082
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 |
|---|---|---|---|
| 22322-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1275164881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 W 39TH ST APT 210",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787514928",
"telephone_number": "203-993-4082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 VILAS AVE # 2",
"city": "MADISON",
"state": "WI",
"postal_code": "537151509",
"telephone_number": "203-993-4082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "TREVOR",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-01",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "22322-40",
"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 Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.