Active NPI
Wanda Yvonne Foley, PHARMD
- Pharmacist
- Moorhead, MN
National Provider Identifier
1376661165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 117151
- Practice address
- 420 Center Ave
Suite 12
Moorhead, MN 56560 - Phone
- (218) 233-1529
- Fax
- (218) 233-8917
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 117151 | MN | Primary |
| Pharmacist | 183500000X | 4734 | ND | |
| Pharmacist | 183500000X | 26019565A | IN |
Addresses
Primary practice location
420 Center Ave
Suite 12
Moorhead, MN 56560
Mailing address
4709 Crystal Creek Drive
Moorhead, MN 56560
Phone (218) 233-8248
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26019565A | IN | MD | Pharmacist |
| 117151 | MN | MD | Pharmacist |
| 4734 | ND | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376661165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4709 CRYSTAL CREEK DRIVE",
"city": "MOORHEAD",
"state": "MN",
"postal_code": "56560",
"telephone_number": "218-233-8248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 CENTER AVE",
"address_2": "SUITE 12",
"city": "MOORHEAD",
"state": "MN",
"postal_code": "56560",
"telephone_number": "218-233-1529",
"fax_number": "218-233-8917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOLEY",
"first_name": "WANDA",
"middle_name": "YVONNE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "117151",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "4734",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26019565A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moorhead, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.