Individual provider Active NPI

Wayne Briggs, PHARM. D.

  • Pharmacist
  • Albany, NY
National Provider Identifier
1568664191
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
050302 Issued in NY
Practice address
17-21 N. Pearl Street
Albany, NY 12207
Phone
(518) 434-6024
Fax
(518) 626-0859
NPI assigned
Jun 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 050302 NY Primary

Addresses

Primary practice location

17-21 N. Pearl Street
Albany, NY 12207

Mailing address

17-21 No. Pearl Street
Albany, NY 12207-0000
Phone (518) 434-6024

Other identifiers 2

IdentifierTypeStateIssuer
05053425MedicaidNY
050302OtherNYPHARMACIST

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.walgreens.com

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

LicenseStateTypeSpecialty
050302NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1568664191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17-21 NO. PEARL STREET",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122070000",
            "telephone_number": "518-434-6024",
            "fax_number": "518-626-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17-21 N. PEARL STREET",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12207",
            "telephone_number": "518-434-6024",
            "fax_number": "518-626-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGGS",
        "first_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05053425",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "050302",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.walgreens.com",
            "affiliation": "N",
            "address_1": "17-21 North Pearl Street",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "12207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.