Active NPI
Herbert John Wetherbe, R.PH.
- Pharmacist
- Massena, NY
National Provider Identifier
1114103033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 040370
- Practice address
- 1 Hospital Dr
Massena, NY 13662-1056 - Phone
- (315) 769-4232
- NPI assigned
- Jan 10, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 040370 | NY | Primary |
| Pharmacist | 183500000X | 051.032550 | IL |
Addresses
Primary practice location
1 Hospital Dr
Massena, NY 13662-1056
Mailing address
1 Hospital Dr
Massena, NY 13662-1056
Phone (315) 769-4232
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 |
|---|---|---|---|
| 051.032550 | IL | MD | Pharmacist |
| 040370 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443744000000",
"number": "1114103033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR",
"city": "MASSENA",
"state": "NY",
"postal_code": "136621056",
"telephone_number": "315-769-4232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR",
"city": "MASSENA",
"state": "NY",
"postal_code": "136621056",
"telephone_number": "315-769-4232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WETHERBE",
"first_name": "HERBERT",
"middle_name": "JOHN",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-10",
"last_updated": "2015-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "040370",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.032550",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Massena, NY
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1946)
- Walgreen Co (Rite Aid #17849)
- Walgreen Co (Walgreens #10698)
- Lindsay Victoria Walker, CNM, WHNP-BC
- Angela Marie Ward, RN
- Deborah Ann Whalen, RN
- Jenna Marie White, OTR/L
- Zariah Chandal White
- Beth Anne Williams-Carter, LMSW
- Ruth Ann Williamson, PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.