Individual provider Active NPI

Makarios Masoad, PHARMD. MBA.

  • Pharmacist
  • Middleton, WI
National Provider Identifier
1992492664
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21507-40 Issued in WI
Practice address
2010 Branch St
Middleton, WI 53562-3026
Phone
(608) 831-6548
NPI assigned
Apr 21, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21507-40 WI Primary

Addresses

Primary practice location

2010 Branch St
Middleton, WI 53562-3026

Mailing address

2010 Branch St
Middleton, WI 53562-3026
Phone (608) 831-6548

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
21507-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Apr 23, 2023 Accepting new patients
Walgreen Co PastSince Apr 23, 2023 Accepting new patients

Locations

2010 Branch St
Middleton, WI 53562
Phone (608) 831-6548

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": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1992492664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 BRANCH ST",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623026",
            "telephone_number": "608-831-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 BRANCH ST",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535623026",
            "telephone_number": "608-831-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASOAD",
        "first_name": "MAKARIOS",
        "name_prefix": "Dr.",
        "credential": "PHARMD. MBA.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "21507-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.