Active NPI
Jacob A Wingfield, PHARMD
- Pharmacist
- Rogers, AR
National Provider Identifier
1184302606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD16626
- Practice address
- 2110 W Walnut St
Rogers, AR 72756-3246 - Phone
- (479) 277-2483
- NPI assigned
- Jul 5, 2023
- 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 | PD16626 | AR | Primary |
Addresses
Primary practice location
2110 W Walnut St
Rogers, AR 72756-3246
Mailing address
4101 W Huntington Dr Apt 7207
Rogers, AR 72758-1713
Phone (501) 765-1230
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 |
|---|---|---|---|
| PD16626 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688860800000",
"number": "1184302606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 W HUNTINGTON DR APT 7207",
"city": "ROGERS",
"state": "AR",
"postal_code": "727581713",
"telephone_number": "501-765-1230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 W WALNUT ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727563246",
"telephone_number": "479-277-2483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINGFIELD",
"first_name": "JACOB",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-05",
"last_updated": "2023-07-09",
"certification_date": "2023-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD16626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.