Active NPI
Alexandra M Larson-Osborne
- Pharmacist
- Madison, WI
National Provider Identifier
1710550926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21008-40
- Practice address
- 311 E Campus Mall
Madison, WI 53715-1269 - Phone
- (608) 251-0042
- NPI assigned
- Jul 23, 2021
- Last updated
- Jul 23, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 21008-40 | WI | Primary |
Addresses
Primary practice location
311 E Campus Mall
Madison, WI 53715-1269
Mailing address
311 E Campus Mall
Madison, WI 53715-1269
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21008-40 | Other | WI | 183500000X-PHARMACIST |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | larsonosborn@wisc.edu |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21008-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
311 East Campus Mall
Madison, WI 53715
Phone (608) 251-0042
Organizations & group practices 2
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": "1626998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1710550926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 E CAMPUS MALL",
"city": "MADISON",
"state": "WI",
"postal_code": "537151269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 E CAMPUS MALL",
"city": "MADISON",
"state": "WI",
"postal_code": "537151269",
"telephone_number": "608-251-0042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON-OSBORNE",
"first_name": "ALEXANDRA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-23",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "21008-40",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "183500000X-PHARMACIST",
"identifier": "21008-40",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "larsonosborn@wisc.edu",
"affiliation": "N",
"address_1": "311 E Campus Mall",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151269",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 23, 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.