Active NPI
Jasper Dean Wolfe, PHARMD
- Pharmacist
- Goose Creek, SC
National Provider Identifier
1699486324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43749
- Practice address
- 9 Corporate Pkwy
Goose Creek, SC 29445-7145 - Phone
- (843) 572-3237
- NPI assigned
- Dec 13, 2022
- Sex
- Male
- 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 | 43749 | SC | Primary |
Addresses
Primary practice location
9 Corporate Pkwy
Goose Creek, SC 29445-7145
Mailing address
3201 Dunwick Dr
Johns Island, SC 29455-8439
Phone (412) 977-9598
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA |
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 |
|---|---|---|---|
| 43749 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1670889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1699486324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 DUNWICK DR",
"city": "JOHNS ISLAND",
"state": "SC",
"postal_code": "294558439",
"telephone_number": "412-977-9598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 CORPORATE PKWY",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294457145",
"telephone_number": "843-572-3237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "JASPER",
"middle_name": "DEAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-13",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "43749",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "9 Corporate Pkwy",
"city": "Goose Creek",
"state": "SC",
"country_code": "US",
"postal_code": "294457145",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Goose Creek, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.