Individual provider Active NPI

Kenneth Ray Wedsted, PHARMD

  • Pharmacist
  • Hot Springs, AR
National Provider Identifier
1073899050
Registry record updated Oct 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD08801 Issued in AR
Practice address
1800 Airport Rd
Hot Springs, AR 71913-5396
Phone
(501) 760-2089
Fax
(501) 760-2435
NPI assigned
Oct 22, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD08801 AR Primary

Addresses

Primary practice location

1800 Airport Rd
Hot Springs, AR 71913-5396

Mailing address

428 Japonica LN
Hot Springs
Hot Springs, AR 71901-9527
Phone (501) 760-2089

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
PD08801ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Apr 17, 2022 Accepting new patients
Walgreen Co Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1319241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319241600000",
    "number": "1073899050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 JAPONICA LN",
            "address_2": "HOT SPRINGS",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719019527",
            "telephone_number": "501-760-2089",
            "fax_number": "501-760-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 AIRPORT RD",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719135396",
            "telephone_number": "501-760-2089",
            "fax_number": "501-760-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDSTED",
        "first_name": "KENNETH",
        "middle_name": "RAY",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-22",
        "last_updated": "2011-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD08801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2011; 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.