Active NPI
Julianna Joan Wiedaman, PHARMD
- Pharmacist
- Steubenville, OH
National Provider Identifier
1003463282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03439163
- Practice address
- 4402 Sunset Blvd
Steubenville, OH 43952-3423 - Phone
- (740) 264-0611
- NPI assigned
- Aug 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03439163 | OH | Primary |
Addresses
Primary practice location
4402 Sunset Blvd
Steubenville, OH 43952-3423
Mailing address
413 Olive Dr
Wintersville, OH 43953-4259
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03439163 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566345600000",
"number": "1003463282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 OLIVE DR",
"city": "WINTERSVILLE",
"state": "OH",
"postal_code": "439534259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4402 SUNSET BLVD",
"city": "STEUBENVILLE",
"state": "OH",
"postal_code": "439523423",
"telephone_number": "740-264-0611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEDAMAN",
"first_name": "JULIANNA",
"middle_name": "JOAN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-21",
"last_updated": "2019-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03439163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Steubenville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.