TARGET PHARMACY T-1060 (NPI# 1619926854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619926854 |
Entity Type | Organization |
Organization Name | TARGET PHARMACY T-1060 |
Practice Address |
201 Junction Rd Madison WI 53717-2615 |
Practice Telephone | 6088279483 |
Practice Fax Number | 6088279483 |
Mailing Telephone | 6088279483 |
Mailing Fax Number | 6088279483 |
Enumeration Date | 2006-05-06 |
Last Update Date | 2020-08-22 |
Authorized Official Name | CHARLIE LEE (PHARMACY TEAM LEADER) |
Authorized Official Telephone | 6088279483 |
Authorized Official Credential | RPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 8075 | WI | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 33255700 | 05 | |
WI | PHARMACY LICENSE NUMBER | 8075 | 01 |
WI | NABP OR NCPDP NUMBER | 5126253 | 01 |
Street Address |
201 JUNCTION RD |
City | MADISON |
State | WI |
Zip Code | 53717-2615 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013338797 | Kelsy Richardson | Pharmacist | 201 Junction Rd, Madison, WI 53717-2615 | 2013-12-23 |
1073877072 | Lisa Moon | Pharmacist | 201 Junction Rd, Madison, WI 53717-2615 | 2012-06-25 |
1508152463 | Amanda Rose Lee | Pharmacist | 201 Junction Rd, Madison, WI 53717-2615 | 2011-06-20 |
1851686851 | Kevin Look | Pharmacist | 201 Junction Rd, T-1060, Madison, WI 53717-2615 | 2011-06-17 |
1578866240 | Glanville Eye Care LLC | Optometrist | 201 Junction Rd, Madison, WI 53717-2615 | 2010-12-17 |
1356667281 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 201 Junction Rd, Madison, WI 53717-2615 | 2010-04-16 |
1417960014 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 Junction Rd, Madison, WI 53717-2615 | 2006-08-14 |
1144279837 | Charlie Lee | Pharmacist | 201 Junction Rd, Madison, WI 53717-2615 | 2006-05-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720540164 | Apex Chiropractic Center LLC | Chiropractor | 562 Junction Road, Madison, WI 53717 | 2019-04-04 |
1467943795 | Brittany Macrander | Speech-Language Pathologist | 701 Deming Way, Madison, WI 53717 | 2018-05-22 |
1144622614 | Christopher Leclair | Pharmacist | 7942 Tree Ln, Suite 201, Madison, WI 53717 | 2014-09-16 |
1740617430 | Martha Darlene Kniffin | Marriage & Family Therapist | 1805 Excelsior Dr, The Family Center, Madison, WI 53717 | 2013-09-26 |
1740538305 | Amber J Thompson | Specialist | 8202 Excelisor Dr, Madison, WI 53717 | 2012-08-29 |
1457622938 | Kimberly F Lauth | Physician Assistant | 1200 Q Hammons Drive, Suite 400, Madison, WI 53717 | 2012-01-16 |
1699042499 | Cameron K Birch | Pharmacist | 9741 Tree Lane, Suite 201, Madison, WI 53717 | 2011-11-22 |
1508023102 | Katherine Jo Hartkopf | Pharmacist | 8501 Excelsior Drive, Rm. 337, Madison, WI 53717 | 2008-05-21 |
1366614885 | Periodontal & Implant Specialists of Madison, LLC | Dentist | 49 N Walbridge Ave., Madison, WI 53717 | 2008-03-25 |
1598961005 | John H Greist | Psychiatry & Neurology | Healthcare Technology Systems, Inc., 7617 Mineral Point Rd., Ste. 300, Madison, WI 53717 | 2007-06-22 |
Find all providers in zip 53717 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144784174 | Bluestem Acupuncture | Clinic/Center | 715 Hill St Ste 130, Madison, WI 53705-3572 | 2019-01-23 |
1225502008 | Care Net Pregnancy Center of Dane County | Clinic/Center | 1350 Macarthur Rd, Madison, WI 53714-1018 | 2019-01-15 |
1447498449 | Rainbow Family Medicine | Clinic/Center | 1650 Slaughter Rd, Suite A, Madison, AL 35758-8610 | 2009-01-29 |
1174796734 | Madison County Urban League | Clinic/Center | 500 Madison Ave, Madison, IL 62060-1414 | 2008-04-03 |
1225243330 | Tlc The Laser Center (northeast) Inc. | Clinic/Center | 2810 City View Dr, Ste. 200, Madison, WI 53718-7941 | 2007-05-11 |
1336222769 | Psychology Clinic Inc. | Clinic/Center | 310 N Midvale Blvd Ste 202, Madison, WI 53705-3265 | 2006-10-21 |
1578513032 | Boone Memorial Hospital Inc | Clinic/Center | 697 Madison Avenue, Madison, WV 25130 | 2006-05-12 |
1427032804 | Brightstarts Pediatrics PC | Clinic/Center | 3776 Sullivan St, Suite C, Madison, AL 35758-2371 | 2005-11-30 |
1235730870 | Nyaga LLC | Clinic/Center | 4095 Lawson Ridge Dr Apt 1016, Madison, AL 35757-7231 | 2020-11-02 |
1467088542 | Peak Performance Chiropractic and Rehab LLC | Clinic/Center | 132 Alton Dr, Madison, WI 53718-9156 | 2020-03-20 |
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.