Vivent Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

9332-42 Issued in WI

Legal business name

VIVENT PHARMACY LLC

Doing business as

AMC Pharmacy
Vivent Pharmacy

Practice address

600 Williamson St
Suite H
Madison, WI 53703-3588

Phone

(844) 342-7294

Fax

(833) 836-3888

NPI assigned

Jun 30, 2015

Organization subpart

No

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

Authorized official

Name

Tony Fields

Title

Chief Pharmacy Officer

Phone

(414) 223-6874

Specialties & licenses 2

Addresses

Other names 2

• AMC Pharmacy Doing business as
• Vivent Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Vivent Pharmacy LLC

  • Pharmacy
  • Milwaukee, WI
  • NPI 1760784086

  O20240827000943

  Same enrollment

Tax ID family

AMC Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Vivent Pharmacy LLC

  • Mail Order Pharmacy
  • Milwaukee, WI
  • NPI 1144950056
  NPD tax ID
• Vivent Pharmacy LLC

  • Pharmacy
  • Milwaukee, WI
  • NPI 1760784086
  NPD tax ID

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1801279583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 N 6TH ST STE 201",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532124006",
            "telephone_number": "800-359-9272",
            "fax_number": "833-368-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WILLIAMSON ST",
            "address_2": "SUITE H",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033588",
            "telephone_number": "844-342-7294",
            "fax_number": "833-836-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVENT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "CHIEF PHARMACY OFFICER",
        "authorized_official_telephone_number": "414-223-6874"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WI",
            "license": "9332-42",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vivent Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy A Viscovich, PHD
• Ravi Viswanathan, MD
• Michael J Vitacco, PH.D.
• Angela K Vitcenda, PAC
• Mary Therese Vittera
• Eva M Vivian, REGISTERED DIETITIAN
• Sydney Vix
• Caroline J Vlasak, APNP
• Dragana Vlaski, PHARMD
• Connie Vo, PHARMD, RPH

• Community/Retail Pharmacy in Madison, WI
• Providers in Madison, WI by specialty
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.