Active NPI
Mollie Wolfe, PHARMD
- Pharmacist
- Jonesboro, AR
National Provider Identifier
1275201568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD15763
- Practice address
- 1000 E Matthews Ave Ste a
Jonesboro, AR 72401-4344 - Phone
- (870) 972-6470
- Fax
- (870) 972-0710
- NPI assigned
- Sep 1, 2021
- 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 | PD15763 | AR | Primary |
Addresses
Primary practice location
1000 E Matthews Ave Ste a
Jonesboro, AR 72401-4344
Mailing address
1000 E Matthews Ave Ste a
Jonesboro, AR 72401-4344
Phone (870) 972-6470
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)
- Enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD15763 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pats Super V Drug Store Inc | Past | Accepting new patients | |
| Super V Drugs Vaccines | Past | Accepting new patients | |
| Pats Super V Drug Store Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Long Term Care Pharmacy
- Jonesboro, AR
- NPI 1457118242
-
- Community/Retail Pharmacy
- Jonesboro, AR
- NPI 1487661583
-
- Community/Retail Pharmacy
- Jonesboro, AR
- NPI 1245635572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1275201568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E MATTHEWS AVE STE A",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724014344",
"telephone_number": "870-972-6470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E MATTHEWS AVE STE A",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724014344",
"telephone_number": "870-972-6470",
"fax_number": "870-972-0710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "MOLLIE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD15763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.