Active NPI
Amanda Alicia Wilga, PHARM.D.
- Pharmacist
- Mansfield, MA
National Provider Identifier
1154618833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 232589
- Practice address
- 377 Chauncy St
Mansfield, MA 02048-1169 - Phone
- (508) 377-9455
- NPI assigned
- Jul 1, 2011
- Sex
- Female
- 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 | 183500000X | 232589 | MA | Primary |
Addresses
Primary practice location
377 Chauncy St
Mansfield, MA 02048-1169
Mailing address
8 Dunham Pond Rd
Lakeville, MA 02347-1438
Phone (508) 361-1522
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
| License | State | Type | Specialty |
|---|---|---|---|
| 232589 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1154618833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 DUNHAM POND RD",
"city": "LAKEVILLE",
"state": "MA",
"postal_code": "023471438",
"telephone_number": "508-361-1522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 CHAUNCY ST",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "020481169",
"telephone_number": "508-377-9455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILGA",
"first_name": "AMANDA",
"middle_name": "ALICIA",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-01",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "232589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.