NPIMap

Individual provider Active NPI

Wayne Macardy, RPH

  • Pharmacist
  • Mauston, WI
National Provider Identifier
1649440124
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9890-040 Issued in WI
Practice address
123 E State St
Mauston, WI 53948-1344
Phone
(608) 847-5949
Fax
(608) 847-1980
NPI assigned
Mar 11, 2008
Last updated
Mar 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9890-040 WI Primary

Addresses

Primary practice location

123 E State St
Mauston, WI 53948-1344

Mailing address

123 E State St
Mauston, WI 53948-1344
Phone (608) 847-5949

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
9890-040WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Phillips Tomah Pharmacy Inc Current Accepting new patients
Phillips Total Care Pharmacy Inc. Current Accepting new patients
Phillips Roche a Cri Clinic Pharmacy Inc Current Accepting new patients

Locations

123 E State St
Mauston, WI 53948
Phone (608) 847-5949

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1649440124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 E STATE ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481344",
            "telephone_number": "608-847-5949",
            "fax_number": "608-847-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E STATE ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481344",
            "telephone_number": "608-847-5949",
            "fax_number": "608-847-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACARDY",
        "first_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "9890-040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mauston, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.