Active NPI
Stewart Ross Wirebaugh, R.PH., PHARM.D.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- New Braunfels, TX
National Provider Identifier
1104261734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 33914
- Practice address
- 607 S Business Ih 35
Suite C
New Braunfels, TX 78130-4794 - Phone
- (830) 387-5463
- NPI assigned
- May 9, 2013
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 33914 | TX | Primary |
Addresses
Primary practice location
607 S Business Ih 35
Suite C
New Braunfels, TX 78130-4794
Mailing address
607 S Business Ih 35
Suite C
New Braunfels, TX 78130-4794
Phone (830) 387-5463
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33914 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368057600000",
"number": "1104261734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 S BUSINESS IH 35",
"address_2": "SUITE C",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781304794",
"telephone_number": "830-387-5463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 S BUSINESS IH 35",
"address_2": "SUITE C",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781304794",
"telephone_number": "830-387-5463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIREBAUGH",
"first_name": "STEWART",
"middle_name": "ROSS",
"name_prefix": "Dr.",
"credential": "R.PH., PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-09",
"last_updated": "2013-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "TX",
"license": "33914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.