NPIMap

Individual provider Active NPI

Faith Leann Wolfenbarker, PHARM D

  • Pharmacist
  • Ironton, OH
National Provider Identifier
1578984290
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03136323 Issued in OH
Practice address
912 Park Ave Ste 105
Ironton, OH 45638-1596
Phone
(740) 237-4922
NPI assigned
Dec 23, 2013
Last updated
Jan 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH027591 GA
Pharmacist 183500000X PS47685 FL
Pharmacist 183500000X 03136323 OH Primary
Pharmacist 183500000X 016984 KY

Addresses

Primary practice location

912 Park Ave Ste 105
Ironton, OH 45638-1596

Mailing address

912 Park Ave Ste 105
Ironton, OH 45638-1596
Phone (740) 237-4922

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
PS47685FLMDPharmacist
RPH027591GAMDPharmacist
016984KYMDPharmacist
03136323OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Hospital Corporation Past Accepting new patients
Ashland Hospital Corporation Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1578984290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 PARK AVE STE 105",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381596",
            "telephone_number": "740-237-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 PARK AVE STE 105",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381596",
            "telephone_number": "740-237-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFENBARKER",
        "first_name": "FAITH",
        "middle_name": "LEANN",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-23",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH027591",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS47685",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03136323",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "016984",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ironton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.