Individual provider Active NPI

Eric Jay Wasson, PHARMD, RPH

  • Pharmacist
  • Twinsburg, OH
National Provider Identifier
1447539465
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03328614 Issued in OH
Practice address
1750 Highland Rd
Suite 1
Twinsburg, OH 44087-2275
Phone
(800) 643-5523
Fax
(800) 533-7114
NPI assigned
Aug 8, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03328614 OH Primary

Addresses

Primary practice location

1750 Highland Rd
Suite 1
Twinsburg, OH 44087-2275

Mailing address

1750 Highland Rd
Suite 1
Twinsburg, OH 44087-2275
Phone (800) 643-5523

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
03328614OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1447539465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 HIGHLAND RD",
            "address_2": "SUITE 1",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872275",
            "telephone_number": "800-643-5523",
            "fax_number": "800-533-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 HIGHLAND RD",
            "address_2": "SUITE 1",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872275",
            "telephone_number": "800-643-5523",
            "fax_number": "800-533-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSON",
        "first_name": "ERIC",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03328614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twinsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.