Individual provider Active NPI

Courtney Marie Putz, PHARM.D.

  • Pharmacist
  • Madison, WI
National Provider Identifier
1699126920
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18385-40 Issued in WI
Practice address
248 E Hill Pkwy
Apt 109
Madison, WI 53718-3310
Phone
(920) 948-7743
NPI assigned
Jun 28, 2016
Last updated
May 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18385-40 WI Primary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 18385-40 WI

Addresses

Primary practice location

248 E Hill Pkwy
Apt 109
Madison, WI 53718-3310

Mailing address

970 Bolden Ave
Sparta, WI 54656-2490
Phone (920) 948-7743

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
18385-40WIMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1699126920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 BOLDEN AVE",
            "city": "SPARTA",
            "state": "WI",
            "postal_code": "546562490",
            "telephone_number": "920-948-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 E HILL PKWY",
            "address_2": "APT 109",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537183310",
            "telephone_number": "920-948-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTZ",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "18385-40",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WI",
            "license": "18385-40",
            "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 May 19, 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.