Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538552401 Individual Practitioner Male Practitioner

Mark Mennicke , RPH

Pharmacist • Madison, WI

Professional Overview & Biography Verified Profile Summary

Mark Mennicke, RPH is a registered healthcare professional specializing in Pharmacist in Madison, WI. Practice services are available at 3700 UNIVERSITY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3700 University Ave

Madison, WI 537052144

Telephone 6082387109
Fax 6082381089
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1295740199

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Madison, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
868 Specialists

Practicing in Madison, WI (5503 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WI 9989-40

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
NPI 1013222520

Registered Pharmacist, Doctor of Philosophy (Ph.D.)

Jason Anderson

Pharmacist

NPI 1013665496
NPI 1043597321

Doctor of Pharmacy (Pharm.D.)

NPI 1053693184

Doctor of Pharmacy (Pharm.D.)

NPI 1326489782

Doctor of Pharmacy (Pharm.D.)

NPI 1366214694

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 16, 2015

Registered at 3700 UNIVERSITY AVE, MADISON, WI 537052144 (Tel: 6082387109)

📍
Updated Business Mailing Address March 16, 2015

Registered at 3700 UNIVERSITY AVE, MADISON, WI 537052144 (Tel: 6082387109)

👤
Provider Name / Credentials Updated March 16, 2015

Recorded as MARK MENNICKE, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2015

Pharmacist (License #9989-40 in WI)

🟢
Initial NPI Registration & Enumeration March 16, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538552401
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2015
Last Update: March 16, 2015
Sole Proprietor: No

Mailing Address

3700 University Ave

Madison, WI 537052144

Phone: 6082387109

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.