Individual provider Active NPI

Anthony G Staresinic, PHARMD

  • Pharmacotherapy Pharmacist
  • Madison, WI
National Provider Identifier
1619985983
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
14347-040 Issued in WI
Practice address
2650 Novation Pkwy
Suite 400
Madison, WI 53713-3399
Phone
(608) 417-4659
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 14347-040 WI Primary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 14347-40 WI

Addresses

Primary practice location

2650 Novation Pkwy
Suite 400
Madison, WI 53713-3399

Mailing address

6733 Gaylord Nelson Rd
Middleton, WI 53562-5137
Phone (608) 824-0001

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

LicenseStateTypeSpecialty
14347-40WIMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
14347-040WIMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1619985983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6733 GAYLORD NELSON RD",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625137",
            "telephone_number": "608-824-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 NOVATION PKWY",
            "address_2": "SUITE 400",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537133399",
            "telephone_number": "608-417-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARESINIC",
        "first_name": "ANTHONY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "WI",
            "license": "14347-040",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WI",
            "license": "14347-40",
            "primary": false
        }
    ],
    "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 Aug 30, 2012; 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.