Individual provider Active NPI

Lauren Streets, PHARMD

  • Pharmacist
  • Fort Atkinson, WI
National Provider Identifier
1750002564
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21436-40 Issued in WI
Practice address
102 S Main St
Fort Atkinson, WI 53538-2014
Phone
(920) 563-2458
NPI assigned
Sep 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21436-40 WI Primary

Addresses

Primary practice location

102 S Main St
Fort Atkinson, WI 53538-2014

Mailing address

102 S Main St
Fort Atkinson, WI 53538-2014
Phone (920) 563-2458

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
21436-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tuttles Pharmacy Inc CurrentSince Jan 26, 2025 Accepting new patients
Tuttles Pharmacy Inc PastSince Sep 11, 2022 Accepting new patients

Locations

102 S Main St
Fort Atkinson, WI 53538
Phone (920) 563-2458

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1750002564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S MAIN ST",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535382014",
            "telephone_number": "920-563-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S MAIN ST",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535382014",
            "telephone_number": "920-563-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREETS",
        "first_name": "LAUREN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "21436-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Atkinson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.