Active NPI
Howard Otto Wachsmann Jr., PHARMD
- Pharmacist
- Stony Creek, VA
National Provider Identifier
1255525382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202007842
- Practice address
- 12451 Main Street
Stony Creek, VA 23882 - Phone
- (434) 246-5191
- NPI assigned
- Aug 31, 2007
- Last updated
- Aug 31, 2007
- 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 | 0202007842 | VA | Primary |
Addresses
Primary practice location
12451 Main Street
Stony Creek, VA 23882
Mailing address
PO Box 185
Stony Creek, VA 23882-0185
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 |
|---|---|---|---|
| 0202007842 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Creek Community Health Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Stony Creek Pharmacy
- Community/Retail Pharmacy
- Stony Creek, VA
- NPI 1538268404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188518400000",
"number": "1255525382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 185",
"city": "STONY CREEK",
"state": "VA",
"postal_code": "238820185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12451 MAIN STREET",
"city": "STONY CREEK",
"state": "VA",
"postal_code": "23882",
"telephone_number": "434-246-5191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WACHSMANN",
"first_name": "HOWARD",
"middle_name": "OTTO",
"name_suffix": "Jr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-31",
"last_updated": "2007-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202007842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stony Creek, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.