Active NPI
Clay Wahlsmith, R.PH.
- Pharmacist
- Winchester, KY
National Provider Identifier
1144496530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 012107
- Practice address
- 10 Winchester PLZ
Winchester, KY 40391-1143 - Phone
- (859) 744-8131
- NPI assigned
- May 5, 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 | 012107 | KY | Primary |
| Pharmacist | 183500000X | 051-288078 | IL |
Addresses
Primary practice location
10 Winchester PLZ
Winchester, KY 40391-1143
Mailing address
1183 Lafayette Blvd
Winchester, KY 40391-8750
Phone (859) 745-0551
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 |
|---|---|---|---|
| 051-288078 | IL | MD | Pharmacist |
| 012107 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1144496530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1183 LAFAYETTE BLVD",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "403918750",
"telephone_number": "859-745-0551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 WINCHESTER PLZ",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "403911143",
"telephone_number": "859-744-8131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAHLSMITH",
"first_name": "CLAY",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-05",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "012107",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-288078",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winchester, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.