Active NPI
Robin Christine Wackernah, PHARM.D., BCPP
- Psychiatric Pharmacist
- Englewood, CO
National Provider Identifier
1598249153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- 19293
- Practice address
- 3425 S Clarkson St
Englewood, CO 80113-2899 - Phone
- (303) 789-8673
- NPI assigned
- Sep 19, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | 19293 | CO | Primary |
Addresses
Primary practice location
3425 S Clarkson St
Englewood, CO 80113-2899
Mailing address
3425 S Clarkson St
Englewood, CO 80113-2899
Phone (303) 789-8673
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 |
|---|---|---|---|
| 19293 | CO | MD | Psychiatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1598249153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 S CLARKSON ST",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801132899",
"telephone_number": "303-789-8673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 S CLARKSON ST",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801132899",
"telephone_number": "303-789-8673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WACKERNAH",
"first_name": "ROBIN",
"middle_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "PHARM.D., BCPP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-19",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "CO",
"license": "19293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.