Active NPI
David L Wyman, RPH
- Pharmacist
- Calais, ME
National Provider Identifier
1376857458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR3691
- Practice address
- 223 And 233 North St
Rite Aid Pharmacy
Calais, ME 04619 - Phone
- (207) 454-2262
- NPI assigned
- Aug 2, 2010
- 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 | PR3691 | ME | Primary |
Addresses
Primary practice location
223 And 233 North St
Rite Aid Pharmacy
Calais, ME 04619
Mailing address
223 And 233 North St
Rite Aid Pharmacy
Calais, ME 04619
Phone (207) 454-2262
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 |
|---|---|---|---|
| PR3691 | ME | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280707200000",
"number": "1376857458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 AND 233 NORTH ST",
"address_2": "RITE AID PHARMACY",
"city": "CALAIS",
"state": "ME",
"postal_code": "04619",
"telephone_number": "207-454-2262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 AND 233 NORTH ST",
"address_2": "RITE AID PHARMACY",
"city": "CALAIS",
"state": "ME",
"postal_code": "04619",
"telephone_number": "207-454-2262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYMAN",
"first_name": "DAVID",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-02",
"last_updated": "2010-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR3691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Calais, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.