Active NPI
Emma Wysocki, RDN, PHARMD
- Pharmacist
- Danville, PA
National Provider Identifier
1063837623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03438811
- Practice address
- 100 N Academy Ave
Danville, PA 17822-2916 - Phone
- (814) 659-9795
- NPI assigned
- Feb 19, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | DI100000554 | DC | |
| Pediatric Nutrition Registered Dietitian | 133VN1004X | DX3504 | MD | |
| Pharmacist | 183500000X | 03438811 | OH | Primary |
Addresses
Primary practice location
100 N Academy Ave
Danville, PA 17822-2916
Mailing address
114 Kingsley Ave
Danville, PA 17821-8676
Other practice location 1
111 Michigan Ave NW
Food and Nutrition
Washington, DC 20010-2916
Phone (202) 476-6164
Other names 1
- Emma Cowie
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 |
|---|---|---|---|
| DI100000554 | DC | MD | Pediatric Nutrition Registered Dietitian |
| DX3504 | MD | MD | Pediatric Nutrition Registered Dietitian |
| 03438811 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1063837623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 KINGSLEY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178218676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178222916",
"telephone_number": "814-659-9795"
}
],
"practiceLocations": [
{
"address_1": "111 Michigan Ave NW",
"address_2": "Food and Nutrition",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200102916",
"country_code": "US",
"telephone_number": "202-476-6164",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WYSOCKI",
"first_name": "EMMA",
"credential": "RDN, PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-19",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "DC",
"license": "DI100000554",
"primary": false
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "MD",
"license": "DX3504",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03438811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMMA",
"last_name": "COWIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Danville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.