Active NPI
Autumn Nichole Wolff, PHARMD
- Pharmacist
- Great Falls, MT
National Provider Identifier
1679193171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA-PHA-LIC-6491
- Practice address
- 324 Central Ave
Great Falls, MT 59401 - Phone
- (406) 453-1497
- NPI assigned
- Apr 24, 2020
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHA-PHA-LIC-6491 | MT | Primary |
Addresses
Primary practice location
324 Central Ave
Great Falls, MT 59401
Mailing address
324 Central Ave
Great Falls, MT 59401
Phone (406) 453-1497
Other names 1
- Autumn Nichole Perry
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rx08624@cvshealth.com | MONTANA CVS PHARMACY LLC |
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 |
|---|---|---|---|
| PHA-PHA-LIC-6491 | MT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montana CVS Pharmacy LLC | Past | Accepting new patients | |
| Montana CVS Pharmacy LLC | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1679193171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 CENTRAL AVE",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "59401",
"telephone_number": "406-453-1497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 CENTRAL AVE",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "59401",
"telephone_number": "406-453-1497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFF",
"first_name": "AUTUMN",
"middle_name": "NICHOLE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-24",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "PHA-PHA-LIC-6491",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rx08624@cvshealth.com",
"affiliation": "Y",
"endpointDescription": "Pharmacy Email",
"affiliationName": "MONTANA CVS PHARMACY LLC",
"address_1": "2001 10th Ave S",
"city": "Great Falls",
"state": "MT",
"country_code": "US",
"postal_code": "594052756",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AUTUMN",
"last_name": "PERRY",
"middle_name": "NICHOLE",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.