Active NPI
Wayne Alden Dyke, RPH
- Pharmacist
- Owings Mills, MD
National Provider Identifier
1073113049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 06991
- Practice address
- 9750 Reisterstown Rd
Owings Mills, MD 21117-4147 - Phone
- (443) 394-0987
- Fax
- (443) 394-0970
- NPI assigned
- Oct 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 06991 | MD | Primary |
Addresses
Primary practice location
9750 Reisterstown Rd
Owings Mills, MD 21117-4147
Mailing address
900 Farmstead Rd
Cockeysville, MD 21030-2816
Phone (443) 750-1111
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 |
|---|---|---|---|
| 06991 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1073113049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 FARMSTEAD RD",
"city": "COCKEYSVILLE",
"state": "MD",
"postal_code": "210302816",
"telephone_number": "443-750-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9750 REISTERSTOWN RD",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211174147",
"telephone_number": "443-394-0987",
"fax_number": "443-394-0970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYKE",
"first_name": "WAYNE",
"middle_name": "ALDEN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-29",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "06991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owings Mills, MD
- Zachary Dunbar, MS, LAT, ATC
- Laura Dunlap, APRN, FNP-C
- Brittanie Dunn, PHARM D
- Carrie Leigh Durkee Immler, L.AC., M.AC.
- Michael A. Dvorak, LCSW-C
- Eaglewings Home Care LLC (EagleWings Therapy Services)
- Eaglewings Human Services Inc
- East Coast Laboratories, LLC
- David Hull Ebaugh, MA,LCPC,CCDC,CEAP
- Hannah G Edelman, RD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.