Active NPI
Rebecca L Wadlow, PHARMD
- Pharmacist
- Chico, CA
National Provider Identifier
1174895635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 57776
- Practice address
- 860 East Ave
Chico, CA 95926-1220 - Phone
- (530) 899-0887
- NPI assigned
- Jan 31, 2012
- Sex
- Female
- 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 | RPH 57776 | CA | Primary |
Addresses
Primary practice location
860 East Ave
Chico, CA 95926-1220
Mailing address
860 East Ave
Chico, CA 95926-1220
Phone (530) 899-0887
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 |
|---|---|---|---|
| RPH 57776 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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 and National Provider Directory roles.
-
- Pharmacy
- Chico, CA
- NPI 1790790079
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327968000000",
"number": "1174895635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 EAST AVE",
"city": "CHICO",
"state": "CA",
"postal_code": "959261220",
"telephone_number": "530-899-0887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 EAST AVE",
"city": "CHICO",
"state": "CA",
"postal_code": "959261220",
"telephone_number": "530-899-0887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADLOW",
"first_name": "REBECCA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-31",
"last_updated": "2012-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 57776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.