Active NPI
Willam Timothy Upton, RPH
- Pharmacist
- Madison, WI
National Provider Identifier
1649551052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9045-40
- Practice address
- 4518 Cottage Grove Rd
Madison, WI 53716-1206 - Phone
- (608) 222-3648
- NPI assigned
- Aug 30, 2011
- Last updated
- Aug 30, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 9045-40 | WI | Primary |
Addresses
Primary practice location
4518 Cottage Grove Rd
Madison, WI 53716-1206
Mailing address
5628 Cheryl Dr
Fitchburg, WI 53711-5330
Phone (608) 274-0938
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9045-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | 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, 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": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314662400000",
"number": "1649551052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5628 CHERYL DR",
"city": "FITCHBURG",
"state": "WI",
"postal_code": "537115330",
"telephone_number": "608-274-0938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4518 COTTAGE GROVE RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537161206",
"telephone_number": "608-222-3648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UPTON",
"first_name": "WILLAM",
"middle_name": "TIMOTHY",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-30",
"last_updated": "2011-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "9045-40",
"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 Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.