Individual provider Active NPI

Dorothy M Wilkes, RPH, PHARMD

  • Pharmacotherapy Pharmacist
  • Bridgeton, MO
National Provider Identifier
1538414586
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
03223259 Issued in OH
Practice address
3223 Bridgeport Place Dr
Bridgeton, MO 63044-3345
Phone
(513) 257-5078
NPI assigned
Jul 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03223269 OH
Pharmacist 183500000X 2014010077 MO
Pharmacotherapy Pharmacist 1835P1200X 2014010077 MO
Ambulatory Care Pharmacist 1835P2201X 2014010077 MO
Pharmacotherapy Pharmacist 1835P1200X 03223259 OH Primary

Addresses

Primary practice location

3223 Bridgeport Place Dr
Bridgeton, MO 63044-3345

Mailing address

3223 Bridgeport Place Dr
Bridgeton, MO 63044-3345
Phone (513) 257-5078

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
03223269OHMDPharmacist
03223259OHMDPharmacotherapy Pharmacist
2014010077MOMDAmbulatory Care Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1538414586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 BRIDGEPORT PLACE DR",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630443345",
            "telephone_number": "513-257-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 BRIDGEPORT PLACE DR",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630443345",
            "telephone_number": "513-257-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKES",
        "first_name": "DOROTHY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "RPH, PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03223269",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2014010077",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MO",
            "license": "2014010077",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MO",
            "license": "2014010077",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "OH",
            "license": "03223259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.