Active NPI
Madelon Ann Streeter, PHARMACIST
- Pharmacist
- Gainesville, FL
National Provider Identifier
1306832076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3123
- Practice address
- 1601 SW Archer Rd
Pharmacy Service (119) VA Medical Center
Gainesville, FL 32608-1135 - Phone
- (352) 271-5418
- Fax
- (352) 379-4083
- NPI assigned
- Sep 27, 2005
- Sex
- Female
- 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 | 3123 | ND | Primary |
Addresses
Primary practice location
1601 SW Archer Rd
Pharmacy Service (119) VA Medical Center
Gainesville, FL 32608-1135
Mailing address
1679 NW 19TH Cir
Gainesville, FL 32605-4097
Phone (352) 373-9446
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3123 | ND | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1306832076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1679 NW 19TH CIR",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054097",
"telephone_number": "352-373-9446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 SW ARCHER RD",
"address_2": "PHARMACY SERVICE (119) VA MEDICAL CENTER",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326081135",
"telephone_number": "352-271-5418",
"fax_number": "352-379-4083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STREETER",
"first_name": "MADELON",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "3123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.