Active NPI
Angela Joy Wahle, PHARMD
- Pharmacist
- Glenwood, IA
National Provider Identifier
1467559534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12569
- Practice address
- 409 S Locust St
Glenwood, IA 51534-1826 - Phone
- (712) 527-4006
- Fax
- (712) 527-4113
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- 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 | 12569 | NE | Primary |
| Pharmacist | 183500000X | 20522 | IA |
Addresses
Primary practice location
409 S Locust St
Glenwood, IA 51534-1826
Mailing address
18770 238TH St
Council Bluffs, IA 51503-7511
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 |
|---|---|---|---|
| 12569 | NE | MD | Mental Health Counselor |
| 20522 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295568000000",
"number": "1467559534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18770 238TH ST",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515037511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 S LOCUST ST",
"city": "GLENWOOD",
"state": "IA",
"postal_code": "515341826",
"telephone_number": "712-527-4006",
"fax_number": "712-527-4113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAHLE",
"first_name": "ANGELA",
"middle_name": "JOY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2011-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "12569",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "20522",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenwood, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.