Active NPI
John Wolle Ward, R.PH, MS
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- New York, NY
National Provider Identifier
1023062841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 030625-1
- Practice address
- 423 E 23Rd St
Pharmacy/119
New York, NY 10010-5011 - Phone
- (212) 686-7500
- Fax
- (212) 951-5451
- NPI assigned
- May 19, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 30625 | NY | |
| Pharmacist | 183500000X | 31276 | CA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 030625-1 | NY | Primary |
Addresses
Primary practice location
423 E 23Rd St
Pharmacy/119
New York, NY 10010-5011
Mailing address
485 1St Ave
Apt 5F
New York, NY 10016-8605
Phone (212) 686-7500
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
- Master of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31276 | CA | MD | Pharmacist |
| 30625 | NY | MD | Pharmacist |
| 030625-1 | NY | 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": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310428800000",
"number": "1023062841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "485 1ST AVE",
"address_2": "APT 5F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100168605",
"telephone_number": "212-686-7500",
"fax_number": "212-951-5451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 E 23RD ST",
"address_2": "PHARMACY/119",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100105011",
"telephone_number": "212-686-7500",
"fax_number": "212-951-5451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "JOHN",
"middle_name": "WOLLE",
"name_prefix": "Mr.",
"credential": "R.PH, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2011-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "30625",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "31276",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NY",
"license": "030625-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.