Individual provider Active NPI

David Musisi Wasanyi, PHARM.D

  • Pharmacist
  • Martinsburg, WV
National Provider Identifier
1093830309
Registry record updated Aug 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
51056551701 Issued in UT
Practice address
443 Rubens Cir
Martinsburg, WV 25403-8303
Phone
(540) 327-6140
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP0006943 WV
Pharmacist 183500000X 51056551701 UT Primary
Pharmacotherapy Pharmacist 1835P1200X 0202208148 VA
Pharmacotherapy Pharmacist 1835P1200X 18801 MD

Addresses

Primary practice location

443 Rubens Cir
Martinsburg, WV 25403-8303

Mailing address

443 Rubens Cir
Martinsburg, WV 25403-8303
Phone (540) 327-6140

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
51056551701UTMDPharmacist
RP0006943WVMDPharmacist
18801MDMDPharmacotherapy Pharmacist
0202208148VAMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250899200000",
    "number": "1093830309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 RUBENS CIR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254038303",
            "telephone_number": "540-327-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 RUBENS CIR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254038303",
            "telephone_number": "540-327-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASANYI",
        "first_name": "DAVID",
        "middle_name": "MUSISI",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2009-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0006943",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "51056551701",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "VA",
            "license": "0202208148",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MD",
            "license": "18801",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2009; 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.