Individual provider Active NPI

Therese Marie Lacasse, RPH

  • Pharmacist
  • Madison, WI
National Provider Identifier
1396333886
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14582-40 Issued in WI
Practice address
6701 Mineral Point Rd
Madison, WI 53705-4241
Phone
(608) 833-4588
NPI assigned
Jan 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14582-40 WI Primary

Addresses

Primary practice location

6701 Mineral Point Rd
Madison, WI 53705-4241

Mailing address

6701 Mineral Point Rd
Madison, WI 53705-4241
Phone (608) 833-4588

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
14582-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin CVS Pharmacy LLC PastSince Jan 17, 2021 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.

NPI Registry JSON

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

{
    "created_epoch": "1610150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1396333886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 MINERAL POINT RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537054241",
            "telephone_number": "608-833-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 MINERAL POINT RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537054241",
            "telephone_number": "608-833-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACASSE",
        "first_name": "THERESE",
        "middle_name": "MARIE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-09",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "14582-40",
            "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 Jan 9, 2021; 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.