Wig Doctor RX Inc.

Primary specialty

ProsthetistTaxonomy code 224P00000X

Legal business name

WIG DOCTOR RX INC.

Practice address

1839 Lane Ave S Ste 101
Jacksonville, FL 32210-1260

Phone

(904) 775-3071

NPI assigned

Jan 27, 2025

Organization subpart

No

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

Authorized official

Name

Rande HarrisNPI 1780429944

Title

Owner

Phone

(904) 430-2420

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rande Alexis Harris

  • Prosthetist
  • Jacksonville, FL
  • NPI 1780429944
  NPD Authorized official

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1386456267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 ART MUSEUM DR APT 176",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074849",
            "telephone_number": "904-430-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 LANE AVE S STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101260",
            "telephone_number": "904-775-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIG DOCTOR RX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RANDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-430-2420"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Alvarez Wiedeman, RD, LD,N
• Russell Frederick Wiegand, PHARMD
• Layton Wiemer
• Kimberly Mattson Wieringa, PA-C
• Leanna Wiest, LM, CPM
• Riley Wigand
• Ernestine Wigelsworth, PHARM.D., RPH
• Brandi E Wiggins, APRN, FNP-C
• Brianna Wiggins, RBT
• Dawn Michelle Wiggins

• Prosthetist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Prosthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.