Active NPI
Wayne Joseph Wolkowicz, DPH
- Pharmacist
- Nashville, TN
National Provider Identifier
1184857484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11544
- Practice address
- 3443 Dickerson Pike
Suite 110
Nashville, TN 37207-2519 - Phone
- (615) 868-0792
- Fax
- (615) 860-4541
- NPI assigned
- Sep 2, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11544 | TN | Primary |
| Pharmacist | 183500000X | 011453 | KY | |
| Pharmacist | 183500000X | 051-040812 | IL |
Addresses
Primary practice location
3443 Dickerson Pike
Suite 110
Nashville, TN 37207-2519
Mailing address
153 East Dr
Hendersonville, TN 37075-4531
Phone (615) 868-0792
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051-040812 | IL | MD | Pharmacist |
| 011453 | KY | MD | Pharmacist |
| 11544 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251849600000",
"number": "1184857484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 EAST DR",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370754531",
"telephone_number": "615-868-0792",
"fax_number": "615-860-4541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3443 DICKERSON PIKE",
"address_2": "SUITE 110",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372072519",
"telephone_number": "615-868-0792",
"fax_number": "615-860-4541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLKOWICZ",
"first_name": "WAYNE",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-02",
"last_updated": "2009-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "11544",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "011453",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-040812",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.