GUARDIAN PHARMACY OF MADISON, LLC (NPI# 1043707987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043707987 |
| Entity Type | Organization |
| Organization Name | GUARDIAN PHARMACY OF MADISON, LLC |
| Other Organization Name | MALLATT'S HOME CARE PHARMACY |
| Practice Address |
3250 Kingsley Way Madison WI 53713-1383 |
| Practice Telephone | 6083109922 |
| Practice Fax Number | 6084428490 |
| Mailing Telephone | 6083109922 |
| Mailing Fax Number | 6084428490 |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |
| Authorized Official Name | JEFF TUCH (VP-PURCHASING & PAYOR RELATIONS) |
| Authorized Official Telephone | 4045325011 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | Y |
| Parent Organization Name | GUARDIAN PHARMACY, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
9504-42 | WI | Suppliers |
| Other Name | Type Code |
|---|---|
| Mallatt's Home Care Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962999805 | Guardian Pharmacy of Madison, LLC | Pharmacy | N85 W15882 Appleton Ave, Menomonee Falls, WI 53051-3082 | 2018-04-17 |
| 1578038022 | Guardian Pharmacy of Madison, LLC | Pharmacy | 10233 W Greenfield Ave, West Allis, WI 53214-3911 | 2018-10-11 |
| Street Address |
3250 KINGSLEY WAY |
| City | MADISON |
| State | WI |
| Zip Code | 53713-1383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356362313 | Mike Flint Enterprises Inc | Durable Medical Equipment & Medical Supplies | 3250 Kingsley Way, Madison, WI 53713 | 2006-07-22 |
| 1023461282 | Mike Flint Enterprises Inc | Pharmacy | 3250 Kingsley Way, Madison, WI 53713-4628 | 2016-07-22 |
| 1053773093 | Kendall Rae Li | Pharmacist | 3250 Kingsley Way, Madison, WI 53713-4628 | 2016-03-28 |
| 1922472141 | Eric Rowe | Pharmacist | 3250 Kingsley Way, Madison, WI 53713-4628 | 2015-11-27 |
| 1104290675 | Jennifer Bickle Daykin | Pharmacist | 3250 Kingsley Way, Madison, WI 53713-4628 | 2015-11-20 |
| 1780086520 | Whitney Erwin | Pharmacist | 3250 Kingsley Way, Madison, WI 53713-4628 | 2014-09-24 |
| 1235576349 | Jennifer Slaughter | Pharmacist | 3250 Kingsley Way, Madison, WI 53713-4628 | 2013-05-30 |
| 1528384765 | Kathy Gruber Kiehn | Pharmacist | 3250 Kingsley Way, Madison, WI 53713-4628 | 2010-04-13 |
| 1770640849 | Jane B Wiesler | Pharmacist | 3250 Kingsley Way, Madison, WI 53713-4628 | 2007-01-01 |
| 1487731469 | Matthew R. Hannon | Pharmacist | 3250 Kingsley Way, Madison, WI 53713-4628 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406760 | Diana Kay Woodruff | Registered Nurse | Madison West Comprehensive Treatment Center, 151 E. Badger Rd. Suite A, Madison, WI 53713 | 2020-01-15 |
| 1568008886 | Avery Reven Kansteiner | Counselor | 105 Ski Court, Madison, WI 53713 | 2019-11-21 |
| 1518501329 | Erica D Anderson | Counselor | 1125 W Badger Rd Apt 6, Madison, WI 53713 | 2019-11-05 |
| 1942799739 | Emily Natera | Counselor | 128 E. Olin Ave., Ste. 100, Madison, WI 53713 | 2018-05-07 |
| 1295255644 | Renee Denise Wilberg | Counselor | 122 E. Olin Avenue, Madison, WI 53713 | 2017-06-26 |
| 1548793060 | Racquel Williams-kroll | Registered Nurse | 151 East Badger Road Ste A, Madison, WI 53713 | 2017-04-11 |
| 1124570841 | Shirley Norman-johnson | Licensed Practical Nurse | 115 East Badger Rd, Suite A, Madison, WI 53713 | 2016-10-28 |
| 1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
| 1013301779 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2840 Index Rd., Madison, WI 53713 | 2015-03-20 |
| 1902147721 | Jill Zimmerman | Occupational Therapy Assistant | 2801 Coho Street, Suite 300, Madison, WI 53713 | 2013-03-04 |
| Find all providers in zip 53713 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1043685852 | Rams Pharmacy LLC | Pharmacy | 412 Gallatin Pike N, Madison, TN 37115-3706 | 2015-12-04 |
| 1649619222 | Caredirect Rx of Jackson, LLC | Pharmacy | 112 Celtic Dr Ste 200a, Madison, AL 35758-1800 | 2013-06-18 |
| 1447458278 | Direct Pharmaceutical Inc. Pharmacy | Pharmacy | 7293 Wall Triana Hwy, Suite C, Madison, AL 35757-8036 | 2007-07-03 |
| 1972611812 | Pp Acquisition Company, LLC | Pharmacy | 2818 Progress Rd, Madison, WI 53716-3338 | 2006-08-29 |
| 1518599257 | Louderback Drug of Madison, Inc. | Pharmacy | 201 S Main St, Madison, NE 68748-6485 | 2020-02-11 |
| 1699182444 | Pharmacy Group of Mississippi, LLC | Pharmacy | 136 Enterprise Dr, Madison, MS 39110-8701 | 2014-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922646579 | Medical Health Pharmacy LLC | Pharmacy | 8845 S Greenview Dr Ste 1, Middleton, WI 53562-2562 | 2019-12-13 |
| 1124665336 | Ltc Pharmacy Services, LLC | Pharmacy | 11739 W Bradley Rd, Milwaukee, WI 53224 | 2019-12-06 |
| 1487205944 | Hayat Pharmacy 20 LLC | Pharmacy | 805 W. Layton Ave., Suite B, Milwaukee, WI 53221 | 2019-09-26 |
| 1568015022 | T A Solberg Co Inc | Pharmacy | 232 S Courtney St Stop 3, Rhinelander, WI 54501-3308 | 2019-07-23 |
| 1932679081 | Janesville Hometown Pharmacy LLC | Pharmacy | 21 S Jackson St Ste 100, Janesville, WI 53548-3859 | 2018-12-03 |
| 1902371107 | Salvanz Enterprises Inc | Pharmacy | 2673 Lineville Rd, Green Bay, WI 54313-7124 | 2018-10-04 |
| 1962999805 | Guardian Pharmacy of Madison, LLC | Pharmacy | N85 W15882 Appleton Ave, Menomonee Falls, WI 53051-3082 | 2018-04-17 |
| 1164932091 | Mabie Pharmacy, LLC | Pharmacy | 10 Liberty St # 106, Deerfield, WI 53531-9458 | 2017-10-05 |
| 1487101754 | Evergreen Pharmacy LLC | Pharmacy | 10101 W Greenfield Ave, West Allis, WI 53214-3953 | 2016-09-05 |
| 1639548142 | Lynja Inc | Pharmacy | 3215 8th St S Ste 101, Wisconsin Rapids, WI 54494-6564 | 2015-09-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GUARDIAN PHARMACY OF MADISON, LLC.
| 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.