Active NPI
Daniel Peter Wearsch, RPH
- Pharmacist
- Canfield, OH
National Provider Identifier
1356305593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03315871
- Practice address
- 11 E Main St
Canfield, OH 44406-1318 - Phone
- (330) 286-0226
- Fax
- (330) 286-0269
- NPI assigned
- Apr 14, 2006
- Last updated
- Oct 29, 2012
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03315871 | OH | Primary |
Addresses
Primary practice location
11 E Main St
Canfield, OH 44406-1318
Mailing address
11 E Main St
Canfield, OH 44406-1318
Phone (330) 286-0226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0947471 | Medicaid | OH |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03315871 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351468800000",
"number": "1356305593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 E MAIN ST",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444061318",
"telephone_number": "330-286-0226",
"fax_number": "330-286-0269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 E MAIN ST",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444061318",
"telephone_number": "330-286-0226",
"fax_number": "330-286-0269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEARSCH",
"first_name": "DANIEL",
"middle_name": "PETER",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2012-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03315871",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0947471",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.