Active NPI
John D Wurtzbacher, PHARM.D., PH.D.
- Pharmacist
- Dayton, OH
National Provider Identifier
1447271861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03-3-19939
- Practice address
- 2419 Far Hills Ave
Dayton, OH 45419-1502 - Phone
- (937) 654-3784
- Fax
- (937) 293-8539
- NPI assigned
- Jul 21, 2006
- Last updated
- Jul 8, 2007
- 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 | 03-3-19939 | OH | Primary |
Addresses
Primary practice location
2419 Far Hills Ave
Dayton, OH 45419-1502
Mailing address
2419 Far Hills Ave
Dayton, OH 45419-1502
Phone (937) 654-3784
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 Philosophy, Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ket Meds Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447271861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2419 FAR HILLS AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454191502",
"telephone_number": "937-654-3784",
"fax_number": "937-293-8539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2419 FAR HILLS AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454191502",
"telephone_number": "937-654-3784",
"fax_number": "937-293-8539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WURTZBACHER",
"first_name": "JOHN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PHARM.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03-3-19939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.