Active NPI
Rodney Wollenslegel, RPH
- Pharmacist
- Vallejo, CA
National Provider Identifier
1043621949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH39964
- Practice address
- 4300 Sonoma Blvd
Vallejo, CA 94589-2200 - Phone
- (707) 642-2284
- NPI assigned
- May 13, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH39964 | CA | Primary |
Addresses
Primary practice location
4300 Sonoma Blvd
Vallejo, CA 94589-2200
Mailing address
4300 Sonoma Blvd
Vallejo, CA 94589-2200
Phone (707) 642-2284
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH39964 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raleys | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Galt, CA
- NPI 1174633820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399939200000",
"number": "1043621949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 SONOMA BLVD",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945892200",
"telephone_number": "707-642-2284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 SONOMA BLVD",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945892200",
"telephone_number": "707-642-2284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLLENSLEGEL",
"first_name": "RODNEY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-13",
"last_updated": "2014-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH39964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.