Community Pharmacy Co-Operative

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

COMMUNITY PHARMACY CO-OPERATIVE

Practice address

130 Fairoaks Ave
Madison, WI 53704

Phone

(608) 251-4454

Fax

(608) 251-3853

NPI assigned

Jul 18, 2006

Last updated

Aug 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Aimee Speers, PHARM D

Title

Pharmacist in Charge

Phone

(608) 251-4454

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Practitioners 4

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.

• Rosalynn F Andre, PHARM.D.

  • Pharmacist
  • Madison, WI
  • NPI 1891966776
  NPD (past)
• Monica Gomez Cauble, PHARM.D.

  • Pharmacist
  • Madison, WI
  • NPI 1952501538
  NPD (past)
• Ian Stewart Hamilton, CPHT

  • Pharmacy Technician
  • Madison, WI
  • NPI 1598126088
  NPD (past)
• Grace Chen Welham, PHARM.D.

  • Pharmacist
  • Madison, WI
  • NPI 1033329065
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1699793380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 FAIROAKS AVE.",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53704",
            "telephone_number": "608-251-4454",
            "fax_number": "608-251-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FAIROAKS AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53704",
            "telephone_number": "608-251-4454",
            "fax_number": "608-251-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PHARMACY CO-OPERATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "SPEERS",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "608-251-4454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "6464",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699793380",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCO PAID",
            "identifier": "480001188",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33134900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Compassionate Care Home LLC
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• Pharmacy in Madison, WI
• Providers in Madison, WI by specialty
• Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.