Individual provider Active NPI

Brian Timothy Wayman, PHARM.D., RPH.

  • Pharmacist
  • Madison, WI
National Provider Identifier
1386911253
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14248-40 Issued in WI
Practice address
15 E Main St
Madison, WI 53703-3366
Phone
(608) 257-3814
Fax
(608) 257-7508
NPI assigned
Nov 21, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14248-40 WI Primary

Addresses

Primary practice location

15 E Main St
Madison, WI 53703-3366

Mailing address

15 E Main St
Madison, WI 53703-3366
Phone (608) 257-3814

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
14248-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Jun 16, 2024 Accepting new patients
Walgreen Co PastSince May 14, 2023 Accepting new patients

Locations

15 E Main St
Madison, WI 53703
Phone (608) 257-3814

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1386911253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E MAIN ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033366",
            "telephone_number": "608-257-3814",
            "fax_number": "608-257-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E MAIN ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537033366",
            "telephone_number": "608-257-3814",
            "fax_number": "608-257-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYMAN",
        "first_name": "BRIAN",
        "middle_name": "TIMOTHY",
        "credential": "PHARM.D., RPH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-21",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "14248-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.