Alan Hodkiewicz, RPH – Pharmacist in Madison, WI

Key facts

NPI: 1942586565
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: 10178-40 (WI)
Practice address: 3710 E Washington Ave
Madison, WI 53704-3647
Phone: (608) 242-9483
Fax: (608) 242-9554
NPI assigned: Oct 27, 2011
Sex: Male
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Registered Pharmacist

State licenses

License	State	Type	Specialty
10178-40	WI	MD	Pharmacist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	10178-40	WI	Yes

Addresses

Primary practice location

3710 E Washington Ave
Madison, WI 53704-3647

Mailing address

3710 E Washington Ave
Madison, WI 53704-3647
Phone (608) 242-9483

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 27, 2011.

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1942586565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 E WASHINGTON AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043647",
            "telephone_number": "608-242-9483",
            "fax_number": "608-242-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 E WASHINGTON AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043647",
            "telephone_number": "608-242-9483",
            "fax_number": "608-242-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODKIEWICZ",
        "first_name": "ALAN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "10178-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

All providers in Madison, WI · Pharmacist in Wisconsin

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.