Organization Active NPI

Neuhauser Pharmacies Inc

  • Community/Retail Pharmacy
  • Madison, WI
National Provider Identifier
1902965908
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
6365-42 Issued in WI
Legal business name
NEUHAUSER PHARMACIES INC
Practice address
1875 Monroe St
Madison, WI 53711-2024
Phone
(608) 256-8712
Fax
(608) 256-3027
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Authorized official

Name
Peg Breuer, RPH
Title
Owner
Phone
(608) 256-8712

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 6365-42 WI Primary

Addresses

Primary practice location

1875 Monroe St
Madison, WI 53711-2024

Mailing address

1875 Monroe St
Madison, WI 53711-2024
Phone (608) 256-8712

Other identifiers 2

IdentifierTypeStateIssuer
2112798OtherPK
33025700MedicaidWI

Other names 1

  • NEUHAUSER PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051020000469 WI Part B Supplier - Mass Immunization (Roster Biller Only) 1355367186 Practice locations: Madison, WI

National Provider Directory

National Provider Directory

Locations

1875 Monroe St
Madison, WI 53711
Phone (608) 256-8712

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1902965908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 MONROE ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112024",
            "telephone_number": "608-256-8712",
            "fax_number": "608-256-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 MONROE ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537112024",
            "telephone_number": "608-256-8712",
            "fax_number": "608-256-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUHAUSER PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "BREUER",
        "authorized_official_first_name": "PEG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-256-8712",
        "authorized_official_credential": "RPH"
    },
    "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": "6365-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2112798",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33025700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEUHAUSER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 22, 2016; 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.