James Matthew Wakefield

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

38599 Issued in TX

Practice address

12221 Custer Rd
Frisco, TX 75035-9306

Phone

(214) 491-5001

NPI assigned

Oct 16, 2020

Last updated

Oct 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

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.

• Kroger Texas L P

  dba Kroger Pharmacy

  • Pharmacy
  • Frisco, TX
  • NPI 1932332111
  NPD (past)
• Kroger Texas LP

  dba Kroger Pharmacy #541

  • Community/Retail Pharmacy
  • Fort Worth, TX
  • NPI 1407747439
  NPD (past)

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1649878026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8105 GALLERY WAY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750728399",
            "telephone_number": "214-995-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 CUSTER RD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750359306",
            "telephone_number": "214-491-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEFIELD",
        "first_name": "JAMES",
        "middle_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "38599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Wagley, D.C.
• Cassandra Alison Wagner, OD
• Elizabeth Lauren Wagner
• Dorian Wai, PT, DPT
• Bryce Barclay Wainwright, DMD
• Dana Waknin, LPC
• Wal-Mart Store Texas, LLC (Vision Center 30-3777)
• Wal-Mart Stores Texas LLC (Wal-Mart Vision Center 30-5866)
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-5866)
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-2463)

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Frisco, TX
• Providers in Frisco, TX by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.