Beverly Douglas Womble, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS18798 Issued in FL

Practice address

3221 N Monroe St
Tallahassee, FL 32303-2821

Phone

(850) 562-2829

Fax

(850) 562-1097

NPI assigned

Mar 17, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wal-Mart Stores East LP

  • Community/Retail Pharmacy
  • Tallahassee, FL
  • NPI 1598903866
  NPD (past)
• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1295310597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 LANDOVER PL",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323178498",
            "telephone_number": "850-284-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 N MONROE ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323032821",
            "telephone_number": "850-562-2829",
            "fax_number": "850-562-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMBLE",
        "first_name": "BEVERLY",
        "middle_name": "DOUGLAS",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS18798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Michelle Wolf, CRNA
• Frances Mary Wolf, MD
• Deana Wolfe, A.P.R.N
• Nicole Wolfe, LMHC
• David Wolfson, MD
• Faith Womble
• Women Empowering Eachother, Inc.
• Nancy Wonder, PH.D.
• Amber Nicole Wong
• Andrew M Wong, MD

• Pharmacist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.