DEAN RETAIL SERVICES INC (NPI# 1003926791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003926791 |
| Entity Type | Organization |
| Organization Name | DEAN RETAIL SERVICES INC |
| Other Organization Name | SSM HEALTH PHARMACY |
| Practice Address |
1313 Fish Hatchery Rd Madison WI 53715-1911 |
| Mailing Address |
1277 Deming Way Madison WI 53717-1971 |
| Practice Telephone | 6082528044 |
| Practice Fax Number | 6082837325 |
| Mailing Telephone | 6088242687 |
| Mailing Fax Number | 6088242690 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | AMY JO GRINNELL (VP FINANCE) |
| Authorized Official Telephone | 6082603586 |
| Is Organization Subpart | Y |
| Parent Organization Name | DEAN HEALTH SYSTEMS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
722642 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33064600 | 05 | |
| PK | 2114678 | 01 |
| Other Name | Type Code |
|---|---|
| SSM Health Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164524567 | Dean Retail Services Inc | Pharmacy | 700 S Park St, Suite 300, Madison, WI 53715-1830 | 2006-09-05 |
| Street Address |
1313 FISH HATCHERY RD |
| City | MADISON |
| State | WI |
| Zip Code | 53715-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356335269 | Paul A Boeder | Obstetrics & Gynecology | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2005-09-07 |
| 1780202663 | Julie Armstrong | Nurse Practitioner | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2020-07-08 |
| 1316580517 | Kelly Nicole Morgan | Clinical Neuropsychologist | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2019-10-21 |
| 1952952921 | Drew A Roenneburg | Physician Assistant | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2019-09-21 |
| 1386299154 | Antonia Efua Bertram | Nurse Practitioner | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2019-08-07 |
| 1407314081 | Tempesst L Merricks | Nurse Practitioner | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2019-03-04 |
| 1588133219 | Jorja Gander | Pharmacist | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2018-11-26 |
| 1841772381 | Jessica M Vaughan | Advanced Practice Midwife | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2018-08-31 |
| 1295216430 | Sarah A Vadnais | Clinical Neuropsychologist | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2018-08-26 |
| 1063906451 | Anthony P Rinaldi | Psychologist | 1313 Fish Hatchery Rd, Madison, WI 53715-1911 | 2018-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851807697 | Kristi M Batchelor | Nurse Practitioner | 20 S Park St Fl 4, Madison, WI 53715 | 2017-12-15 |
| 1578927026 | Petra A Kelsey | Family Medicine | 1107 Emerald St, Madison, WI 53715 | 2016-04-11 |
| 1467889238 | Group Health Cooperative of South Central Wi | Durable Medical Equipment & Medical Supplies | 740 Regent Street, Suite 106, Madison, WI 53715 | 2013-10-10 |
| 1275888760 | Sandra Beth Miller | Physician Assistant | 700 S. Park, Suite A 404, Madison, WI 53715 | 2012-07-20 |
| 1134418486 | Matthew Lochen | Emergency Medicine | 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 | 2011-04-06 |
| 1225275720 | Eileen J Breitweiser | Social Worker | 202 South Parkt Street, Madison, WI 53715 | 2009-01-21 |
| 1225293137 | Kenneth H. Yuska, Md, Sc | Orthopaedic Surgery | 4726 East Towne Blvd., 110, Madison, WI 53715 | 2008-07-21 |
| 1063689727 | Rachel I Kornik | Dermatology | Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 | 2008-05-13 |
| 1144434911 | Rebecca Sue Frye | Pharmacist | 1 South Park Street, Suite 101 Pharmacy, Madison, WI 53715 | 2007-05-10 |
| 1376755496 | Eileen C. Scrivner | Social Worker | 1008 Fish Hatchery Road, Madison, WI 53715 | 2007-05-03 |
| Find all providers in zip 53715 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487219192 | Morgan County, Georgia Hospital Authority | Pharmacy | 1740 Lions Club Road, Madison, GA 30650 | 2019-05-08 |
| 1194227694 | Dean Retail Services, Inc. | Pharmacy | 752 N High Point Rd Ste L701, Madison, WI 53717-2236 | 2018-03-01 |
| 1578955381 | Uptown Pharmacy | Pharmacy | 1042 Gluckstadt Rd, Suite D, Madison, MS 39110-6981 | 2015-03-03 |
| 1346651296 | Roundys Supermarkets Inc | Pharmacy | 6010 Cottage Grove Rd, Madison, WI 53718-1300 | 2014-05-14 |
| 1831536648 | Keystone Pharmacy, LLC | Pharmacy | 118 Weisenberger Road, Sutie #400, Madison, MS 39110 | 2013-06-03 |
| 1376885152 | Hy Vee Inc | Pharmacy | 675 S Whitney Way, Madison, WI 53711-1034 | 2013-03-20 |
| 1982943924 | District Council of Madison Inc | Pharmacy | 2033 Fish Hatchery Rd, Madison, WI 53725-9686 | 2013-02-12 |
| 1801028030 | Hy Vee Inc | Pharmacy | 3801 E Washington Ave, Madison, WI 53704-3648 | 2009-08-21 |
| 1780875955 | Walgreen Co | Pharmacy | 129 Clifty Dr, Madison, IN 47250-1601 | 2007-08-05 |
| 1225238926 | Roundys Supermarkets Inc | Pharmacy | 3650 University Ave, Madison, WI 53705-2143 | 2007-07-20 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.