NPIMap

Individual provider Active NPI

Lance Wheeler, PHARMD

  • Pharmacist
  • Garner, NC
National Provider Identifier
1104074665
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13619 Issued in NC
Practice address
127 Mast Dr
Garner, NC 27529-6718
Phone
(919) 772-6902
Fax
(919) 772-9025
NPI assigned
Sep 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13619 NC Primary

Addresses

Primary practice location

127 Mast Dr
Garner, NC 27529-6718

Mailing address

127 Mast Dr
Garner, NC 27529-6718
Phone (919) 772-6902

Other identifiers 1

IdentifierTypeStateIssuer
0920175MedicaidNC

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
13619NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthsmart of Clayton LLC Current Accepting new patients
Bwii, LLC Current Accepting new patients
BW II LLC Current Accepting new patients

Locations

127 Mast Dr
Garner, NC 27529
Phone (919) 772-6902

Organizations & group practices 3

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": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1104074665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 MAST DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275296718",
            "telephone_number": "919-772-6902",
            "fax_number": "919-772-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MAST DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275296718",
            "telephone_number": "919-772-6902",
            "fax_number": "919-772-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "LANCE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "13619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0920175",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.