Active NPI
Michael Wolnerman
- Pharmacist
- Des Moines, IA
National Provider Identifier
1407126568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16958
- Practice address
- 7 SW 56TH St
Des Moines, IA 50312-2155 - Phone
- (515) 778-3867
- NPI assigned
- Jan 6, 2012
- 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 | 16958 | IA | Primary |
| Pharmacist | 183500000X | 051036773 | IL |
Addresses
Primary practice location
7 SW 56TH St
Des Moines, IA 50312-2155
Mailing address
7 SW 56TH Street
Des Moines, IA 50312-2155
Phone (515) 778-3867
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16958 | IA | MD | Pharmacist |
| 051036773 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325808000000",
"number": "1407126568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 SW 56TH STREET",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503122155",
"telephone_number": "515-778-3867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 SW 56TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503122155",
"telephone_number": "515-778-3867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLNERMAN",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-06",
"last_updated": "2012-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "16958",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051036773",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.