NPIMap

Organization Active NPI

University of Wisconsin Hospitals and Clinics Authority

  • Pharmacy
  • Madison, WI
National Provider Identifier
1366823403
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
9305 Issued in WI
Legal business name
UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY
Practice address
4602 Eastpark Blvd
Room 1301
Madison, WI 53718-2002
Phone
(608) 440-4265
Fax
(608) 440-4266
NPI assigned
Jun 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Authorized official

Name
Alan Kaplan, MD
Title
Ceo
Phone
(608) 263-7013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 9305 WI Primary

Addresses

Primary practice location

4602 Eastpark Blvd
Room 1301
Madison, WI 53718-2002

Mailing address

600 Highland Ave
Compliance MC 2433
Madison, WI 53792-0001
Phone (608) 662-0817

Other names 1

  • UW Health Pharmacy Services - TAC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20151007003384 WI DME Supplier - Pharmacy 4880503648 1 other NPI on this enrollment
Practice locations: Madison, WI
O20240723001489 WI Part B Supplier - Mass Immunization (Roster Biller Only) 4880503648 10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Madison, WI; Middleton, WI

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
St Lab of Hygiene32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Member organizations 9

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Uw Health Rehabilitation HospitalMadison, WI, CCN 523028 Hospital 5% Or Greater Direct Ownership Interest (40.6%) Jul 18, 2013
Uw Health Care DirectMiddleton, WI, CCN 527220 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2019

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1366823403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "address_2": "COMPLIANCE MC 2433",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537920001",
            "telephone_number": "608-662-0817",
            "fax_number": "608-203-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 EASTPARK BLVD",
            "address_2": "ROOM 1301",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537182002",
            "telephone_number": "608-440-4265",
            "fax_number": "608-440-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-263-7013",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "9305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UW Health Pharmacy Services - TAC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.