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WILLOW PHARMACY
NPI 1013169598
Pharmacy - Long Term Care Pharmacy in Madison, WI

Active since October 16, 2008CLIA 14D2192926 · Waiver
2445 DARWIN RD, SUITE 102, MADISON, WI 53704(608) 240-2280(608) 240-2288 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 19, 2018, Apr 30, 2018 (2 updates tracked since 2018).

About Willow Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLOW PHARMACY (NPI 1013169598) is a healthcare organization registered as a long term care pharmacy in Madison, Wisconsin and active in the NPI registry since October 2008. The organization holds a CLIA Waiver certificate valid through September 15, 2026 and lists Brian Kramer, President, as its authorized official.

NPPES Registry Identity

NPI1013169598
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameFORUM EXTENDED CARE SERVICES OF WISCONSIN INC
Location Address2445 DARWIN RD, SUITE 102Madison, WI 53704-3116
Mailing Address4201 W Victoria StChicago, IL 60646-6700 · (847) 673-8727 · Fax (847) 673-6215
Phone(608) 240-2280
Fax(608) 240-2288
Organization SubpartNo
Authorized OfficialBrian KramerPresident · (847) 673-8727
Enumeration DateOctober 16, 2008
Last NPPES UpdateMarch 22, 20222 updates tracked since enumeration
NPPES CertifiedMarch 22, 2022
✔ NPI 1013169598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in WI · 9417-42
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacyTaxonomy 333600000X
2445 DARWIN RD, Madison, WI 53704
Open in Google Maps ↗

Other Names 1

Doing Business AsWillow Pharmacy

Other Identifiers 2

Other2117872Pk
Medicaid100001648WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2192926

Form Extended Care Services, Inc I I · Chicago, IL
Active · expires Sep 15, 2026
CLIA Number14D2192926
Laboratory TypePharmacy
Certificate Effective DateSeptember 16, 2024
Certificate Expiration DateSeptember 15, 2026
Laboratory DirectorBrian Kramer
Laboratory Phone(800) 447-7108
Laboratory LocationForm Extended Care Services, Inc I I4201 W Victoria St, Chicago, IL 60646
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FOCUS COUNSELING, INC
Counselor (Mental Health)
2445 DARWIN RD, SUITE 101
MADISON, WI 53704
Dane County (608) 335-8093
ALISON BEYER LPC-IT; ATR-P
Art Therapist
2445 DARWIN RD
MADISON, WI 53704
Dane County (608) 241-4888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Forum Extended Care Services Of Wisconsin Inc's NPI number?

The NPI number for Forum Extended Care Services Of Wisconsin Inc is 1013169598. It was assigned to this organization in the NPPES registry on October 16, 2008. The provider is doing business as Willow Pharmacy.

Where is Forum Extended Care Services Of Wisconsin Inc located?

Forum Extended Care Services Of Wisconsin Inc is located at 2445 Darwin Rd Suite 102, Madison, WI 53704. The listed phone number is (608) 240-2280.

What is Forum Extended Care Services Of Wisconsin Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Forum Extended Care Services Of Wisconsin Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2192926) is associated with this NPI, valid through September 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Forum Extended Care Services Of Wisconsin Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 44 other insurers list Forum Extended Care Services Of Wisconsin Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Forum Extended Care Services Of Wisconsin Inc was last updated on March 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.