Active NPI
Jennifer Moore Wolter, RPH
- Pharmacist
- Mebane, NC
National Provider Identifier
1235468422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12650
- Practice address
- 123 E Center St
Mebane, NC 27302-2431 - Phone
- (919) 563-1700
- NPI assigned
- Dec 17, 2009
- Last updated
- Dec 17, 2009
- 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 | 12650 | NC | Primary |
Addresses
Primary practice location
123 E Center St
Mebane, NC 27302-2431
Mailing address
207 Hopesworth CT
Hillsborough, NC 27278-9843
Phone (919) 732-6917
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12650 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kerr Drug Inc | Past | Accepting new patients | |
| Kerr Drug Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261008000000",
"number": "1235468422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 HOPESWORTH CT",
"city": "HILLSBOROUGH",
"state": "NC",
"postal_code": "272789843",
"telephone_number": "919-732-6917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 E CENTER ST",
"city": "MEBANE",
"state": "NC",
"postal_code": "273022431",
"telephone_number": "919-563-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLTER",
"first_name": "JENNIFER",
"middle_name": "MOORE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-17",
"last_updated": "2009-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "12650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mebane, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.