Individual provider Active NPI

Jerome Wayne Wohleb, PHARMD

  • Pharmacist
  • Draper, UT
National Provider Identifier
1033122452
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6038323-1701 Issued in UT
Practice address
1738 Kudu CT
Draper, UT 84020-9375
Phone
(801) 553-2635
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6038323-1701 UT Primary
Pharmacotherapy PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 1835P1200X 6038323-1701 UT
Pharmacotherapy Pharmacist 1835P1200X 7648 AZ
Pharmacotherapy Pharmacist 1835P1200X 9181 NE

Addresses

Primary practice location

1738 Kudu CT
Draper, UT 84020-9375

Mailing address

1738 Kudu CT
Draper, UT 84020-9375
Phone (801) 553-2635

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

LicenseStateTypeSpecialty
7648AZMDPharmacotherapy Pharmacist
6038323-1701UTMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1033122452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 KUDU CT",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209375",
            "telephone_number": "801-553-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 KUDU CT",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209375",
            "telephone_number": "801-553-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHLEB",
        "first_name": "JEROME",
        "middle_name": "WAYNE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "6038323-1701",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "UT",
            "license": "6038323-1701",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "AZ",
            "license": "7648",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NE",
            "license": "9181",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.