Active NPI
Felidia Yasmin Wishart, PHARMD
- Pharmacist
- Yadkinville, NC
National Provider Identifier
1457646291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17512
- Practice address
- 921 S State St
Yadkinville, NC 27055-6765 - Phone
- (336) 679-8849
- Fax
- (336) 679-4719
- NPI assigned
- Jun 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 17512 | NC | Primary |
Addresses
Primary practice location
921 S State St
Yadkinville, NC 27055-6765
Mailing address
154 Piedmont Ave
Winston Salem, NC 27101-3633
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 |
|---|---|---|---|
| 17512 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307577600000",
"number": "1457646291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 PIEDMONT AVE",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271013633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 S STATE ST",
"city": "YADKINVILLE",
"state": "NC",
"postal_code": "270556765",
"telephone_number": "336-679-8849",
"fax_number": "336-679-4719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISHART",
"first_name": "FELIDIA",
"middle_name": "YASMIN",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-09",
"last_updated": "2011-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "17512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yadkinville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.