Individual provider Active NPI

Julie Ann Wharam, PHARM D

  • Pharmacist
  • East Grand Forks, MN
National Provider Identifier
1306448360
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
118379 Issued in MN
Practice address
224 14TH St NE
East Grand Forks, MN 56721-1628
Phone
(218) 773-0611
Fax
(218) 773-3532
NPI assigned
Nov 13, 2020
Last updated
Nov 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 118379 MN Primary

Addresses

Primary practice location

224 14TH St NE
East Grand Forks, MN 56721-1628

Mailing address

224 14TH St NE
East Grand Forks, MN 56721-1628
Phone (218) 773-0611

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

LicenseStateTypeSpecialty
118379MNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1306448360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 14TH ST NE",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567211628",
            "telephone_number": "218-773-0611",
            "fax_number": "218-773-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 14TH ST NE",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567211628",
            "telephone_number": "218-773-0611",
            "fax_number": "218-773-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHARAM",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "118379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Grand Forks, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.