Active NPI
Philip John Wenger, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Clayton, MO
National Provider Identifier
1013273051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 2007031809
- Practice address
- 8101 Clayton Rd
Clayton, MO 63117-1103 - Phone
- (314) 726-2124
- NPI assigned
- Apr 4, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 051291358 | IL | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 2007031809 | MO | Primary |
Addresses
Primary practice location
8101 Clayton Rd
Clayton, MO 63117-1103
Mailing address
4588 Parkview PL
Saint Louis, MO 63110-1029
Other practice location 1
4588 Parkview Pl
Saint Louis, MO 63110-1029
Phone (314) 446-8498
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 |
|---|---|---|---|
| 051291358 | IL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 2007031809 | MO | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1013273051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4588 PARKVIEW PL",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8101 CLAYTON RD",
"city": "CLAYTON",
"state": "MO",
"postal_code": "631171103",
"telephone_number": "314-726-2124"
}
],
"practiceLocations": [
{
"address_1": "4588 Parkview Pl",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631101029",
"country_code": "US",
"telephone_number": "314-446-8498",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WENGER",
"first_name": "PHILIP",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-04",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "IL",
"license": "051291358",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MO",
"license": "2007031809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clayton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.