Active NPI
Robert Wolf, RPH
- Pharmacist
- Medford, OR
National Provider Identifier
1144520222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0010693
- Practice address
- 3169 Crater Lake Hwy
Medford, OR 97504-9179 - Phone
- (541) 774-4346
- NPI assigned
- Oct 23, 2010
- Last updated
- Oct 23, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0010693 | OR | Primary |
Addresses
Primary practice location
3169 Crater Lake Hwy
Medford, OR 97504-9179
Mailing address
3169 Crater Lake Hwy
Medford, OR 97504-9179
Phone (541) 774-4346
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 |
|---|---|---|---|
| 0010693 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287792000000",
"number": "1144520222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3169 CRATER LAKE HWY",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975049179",
"telephone_number": "541-774-4346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3169 CRATER LAKE HWY",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975049179",
"telephone_number": "541-774-4346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-23",
"last_updated": "2010-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0010693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.