Individual provider Active NPI

Morgan Alicia McCluskey Wirtz, PHARMD

  • Pharmacist
  • Parkton, MD
National Provider Identifier
1154039949
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28908 Issued in MD
Practice address
111 Mount Carmel Rd
Parkton, MD 21120-9706
Phone
(410) 343-0110
NPI assigned
Nov 9, 2022
Last updated
Nov 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28908 MD Primary

Addresses

Primary practice location

111 Mount Carmel Rd
Parkton, MD 21120-9706

Mailing address

4826 Amos Rd
White Hall, MD 21161-9690
Phone (410) 935-4414

Other names 1

  • Morgan Alicia Wirtz Former name

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
28908MDMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1154039949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4826 AMOS RD",
            "city": "WHITE HALL",
            "state": "MD",
            "postal_code": "211619690",
            "telephone_number": "410-935-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MOUNT CARMEL RD",
            "city": "PARKTON",
            "state": "MD",
            "postal_code": "211209706",
            "telephone_number": "410-343-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLUSKEY WIRTZ",
        "first_name": "MORGAN",
        "middle_name": "ALICIA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "28908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORGAN",
            "last_name": "WIRTZ",
            "middle_name": "ALICIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.