Ethan Blake Wheeler, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH100003571 Issued in DC

Practice address

1300 7TH St NW Ste 200
Washington, DC 20001-3504

Phone

(202) 930-4242

NPI assigned

Dec 1, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)
• Walgreen Co.

  • Pharmacy
  • Aldie, VA
  • NPI 1073655049
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1023523875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 7TH ST NW STE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200013504",
            "telephone_number": "202-930-4242",
            "fax_number": "202-930-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 7TH ST NW STE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200013504",
            "telephone_number": "202-930-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "ETHAN",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-01",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202217618",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "61933",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "29328",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DC",
            "license": "PH100003571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Elliott Wheeler, LICSW
• Cyerra Ambria Wheeler, LGSW
• Darlene Corita Wheeler
• Donna Wheeler
• Earlene Marie Wheeler
• George Larry Wheeler Sr., PSYD, LPC,CEAP,SAP
• Kathy Robin Wheeler
• Keacha Wheeler
• Kimberly Wheeler
• Kristen Wheeler

• Pharmacist in Washington, DC
• Providers in Washington, DC by specialty
• Pharmacist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.

Verify at the official NPI Registry.