Active NPI
Theodore Kent Worswick, RPH, PHARM.D
- Pharmacotherapy Pharmacist
- Fallon, NV
National Provider Identifier
1285054346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 09734
- Practice address
- 1001 Rio Vista Dr
Fallon Tribal Health Center
Fallon, NV 89406-5463 - Phone
- (775) 423-3634
- Fax
- (775) 423-2314
- NPI assigned
- Apr 16, 2014
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 09734 | NV | Primary |
Addresses
Primary practice location
1001 Rio Vista Dr
Fallon Tribal Health Center
Fallon, NV 89406-5463
Mailing address
1001 Rio Vista Dr
Fallon Tribal Health Center
Fallon, NV 89406-5463
Phone (775) 423-3634
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09734 | NV | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397606400000",
"number": "1285054346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 RIO VISTA DR",
"address_2": "FALLON TRIBAL HEALTH CENTER",
"city": "FALLON",
"state": "NV",
"postal_code": "894065463",
"telephone_number": "775-423-3634",
"fax_number": "775-423-2314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 RIO VISTA DR",
"address_2": "FALLON TRIBAL HEALTH CENTER",
"city": "FALLON",
"state": "NV",
"postal_code": "894065463",
"telephone_number": "775-423-3634",
"fax_number": "775-423-2314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORSWICK",
"first_name": "THEODORE",
"middle_name": "KENT",
"credential": "RPH, PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-16",
"last_updated": "2014-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NV",
"license": "09734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fallon, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.