Individual provider Active NPI

Timothy T Madsen, RPH

  • Pharmacist
  • Toledo, IA
National Provider Identifier
1972632230
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
16152 Issued in IA
Practice address
108 2ND Ave W
Toledo, IA 52342-2140
Phone
(641) 484-6198
Fax
(641) 484-4642
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 16152 IA Primary

Addresses

Primary practice location

108 2ND Ave W
Toledo, IA 52342-2140

Mailing address

307 Richard LN
Marshalltown, IA 50158-4412
Phone (641) 752-1431

Other identifiers 1

IdentifierTypeStateIssuer
0225649MedicaidIA

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
16152IAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Madsen Inc Past Accepting new patients
Madsen Inc Past Accepting new patients

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1972632230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 RICHARD LN",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584412",
            "telephone_number": "641-752-1431",
            "fax_number": "641-484-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 2ND AVE W",
            "city": "TOLEDO",
            "state": "IA",
            "postal_code": "523422140",
            "telephone_number": "641-484-6198",
            "fax_number": "641-484-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "TIMOTHY",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "16152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0225649",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.