OrganizationActive
Athlete Pharmacist LLC
NPI 1649520008 · Multi-Specialty Clinic/Center · Madison, WI
Provider details
- NPI number
- 1649520008
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Lorson, Ceo(414) 207-0309
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
211 Nautilus Dr Apt 8
Madison, WI 53705-4358
Phone: (414) 207-0309
Street-level locationGet directions
Mailing address
211 Nautilus Dr Apt 8
Madison, WI 53705-4358
Registry dates
- Enumerated
- 2012-09-13
- Last updated
- 2012-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.