Organization Active NPI

Oakwood Village University Woods Homes, Inc

Doing business as Oakwood Pharmacy

  • Long Term Care Pharmacy
  • Madison, WI
National Provider Identifier
1679592646
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
OAKWOOD VILLAGE UNIVERSITY WOODS HOMES, INC
Doing business as
Oakwood Pharmacy
Practice address
6165 Mineral Point Rd
Madison, WI 53705-4457
Phone
(608) 230-4217
Fax
(608) 230-4327
NPI assigned
Jul 19, 2006
Last updated
Jul 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Angela Ann StudnickaNPI 1316250806
Title
Director of Pharmacy
Phone
(608) 230-4404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 6830042 WI
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

6165 Mineral Point Rd
Madison, WI 53705-4457

Mailing address

6165 Mineral Point Rd
Madison, WI 53705-4457
Phone (608) 230-4217

Other identifiers 2

IdentifierTypeStateIssuer
2114770OtherPK
3312250MedicaidWI

Other names 1

  • OAKWOOD PHARMACY Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930032611 WI DME Supplier - Pharmacy 8123100609 Practice locations: Madison, WI
O20140122001287 WI Part B Supplier - Mass Immunization (Roster Biller Only) 8123100609 1 other NPI on this enrollment
Practice locations: Madison, WI

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D1098292Oakwood Pharmacy6165 Mineral Point Road, Madison, WI 53705Certificate of waiverJun 28, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Oakwood Village University Woods Ho6165 Mineral Point Rd, Madison, WI 53705-4457(608) 230-4217 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Oct 1, 2013

National Provider Directory

National Provider Directory
Tax ID family
Oakwood Lutheran Homes2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member organizations 2

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

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Oakwood Village East Health and Rehabilitation CenterMadison, WI, CCN 525692 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Mar 10, 2008
Mar 4, 2025

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1679592646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6165 MINERAL POINT RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537054457",
            "telephone_number": "608-230-4217",
            "fax_number": "608-230-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6165 MINERAL POINT RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537054457",
            "telephone_number": "608-230-4217",
            "fax_number": "608-230-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWOOD VILLAGE UNIVERSITY WOODS HOMES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-07-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "STUDNICKA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "608-230-4404"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WI",
            "license": "6830042",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2114770",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3312250",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OAKWOOD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OAKWOOD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.