Active NPI
Jessica Lynn Wirtz, PHARM D
- Pharmacist
- Warrenton, MO
National Provider Identifier
1265739569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2013005452
- Practice address
- 701 N State Highway 47
Warrenton, MO 63383-1119 - Phone
- (636) 377-2172
- NPI assigned
- Feb 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 2013005452 | NC | Primary |
Addresses
Primary practice location
701 N State Highway 47
Warrenton, MO 63383-1119
Mailing address
701 N State Highway 47
Warrenton, MO 63383-1119
Phone (636) 377-2172
Other practice location 1
522 Owen Dr
Fayetteville, NC 28304-3432
Phone (910) 484-7183
Other names 1
- Jessica Lynn North
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 |
|---|---|---|---|
| 2013005452 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
701 N State Highway 47
Warrenton, MO 63383
Phone (636) 327-3441
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750377600000",
"number": "1265739569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 N STATE HIGHWAY 47",
"city": "WARRENTON",
"state": "MO",
"postal_code": "633831119",
"telephone_number": "636-377-2172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N STATE HIGHWAY 47",
"city": "WARRENTON",
"state": "MO",
"postal_code": "633831119",
"telephone_number": "636-377-2172"
}
],
"practiceLocations": [
{
"address_1": "522 Owen Dr",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283043432",
"country_code": "US",
"telephone_number": "910-484-7183",
"fax_number": "910-484-0119",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIRTZ",
"first_name": "JESSICA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-22",
"last_updated": "2025-06-20",
"certification_date": "2025-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "2013005452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "NORTH",
"middle_name": "LYNN",
"credential": "PHARM D",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Warrenton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.