Active NPI
Peter C Wing, PHARM.D.
- Pharmacist
- Palatine Bridge, NY
National Provider Identifier
1396067674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 053987
- Practice address
- 9 E Grand St
Palatine Bridge, NY 13428-2401 - Phone
- (518) 673-3713
- Fax
- (518) 673-5453
- NPI assigned
- Feb 27, 2010
- Last updated
- Jul 18, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 053987 | NY | Primary |
| Pharmacist | 183500000X | PH27496 | MA |
Addresses
Primary practice location
9 E Grand St
Palatine Bridge, NY 13428-2401
Mailing address
PO Box 315
Palatine Bridge, NY 13428-0315
Phone (518) 673-3713
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 |
|---|---|---|---|
| 053987 | NY | MD | General Practice Dentistry |
| PH27496 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405641600000",
"number": "1396067674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 315",
"city": "PALATINE BRIDGE",
"state": "NY",
"postal_code": "134280315",
"telephone_number": "518-673-3713",
"fax_number": "518-673-5453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 E GRAND ST",
"city": "PALATINE BRIDGE",
"state": "NY",
"postal_code": "134282401",
"telephone_number": "518-673-3713",
"fax_number": "518-673-5453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WING",
"first_name": "PETER",
"middle_name": "C",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-27",
"last_updated": "2014-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "053987",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH27496",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palatine Bridge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.