Individual provider Active NPI

Wayne Joseph Wolkowicz, DPH

  • Pharmacist
  • Nashville, TN
National Provider Identifier
1184857484
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11544 Issued in TN
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

Updated by the provider on Sep 2, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
051-040812ILMDPharmacist
011453KYMDPharmacist
11544TNMDPharmacist

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.

Verify at the official NPI Registry.