Benjamin Randolph Wheeler, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

10455 Issued in GA

Practice address

410 Darling Ave
Waycross, GA 31501-5246

Phone

(912) 287-2506

Fax

(912) 287-2505

NPI assigned

Nov 8, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1528345352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MYRA ST",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "315101550",
            "telephone_number": "912-632-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 DARLING AVE",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315015246",
            "telephone_number": "912-287-2506",
            "fax_number": "912-287-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "BENJAMIN",
        "middle_name": "RANDOLPH",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "10455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waycross Orthopaedics, P.C.
• Waycross Urology Clinic PC
• Kelly Beth Weber, M.ED., CCC-SLP
• Antwonette Miriam Weston
• Iona Virginia Weston
• George A Wheeler, M.D.
• Theresa Wheeler, LPN
• Ashley Nicole White, FNP-C
• Carlos Cortez White
• Dalton White

• Pharmacist in Waycross, GA
• Providers in Waycross, GA by specialty
• Pharmacist in Georgia

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