Active NPI
Terry Lynn Wehagen, RPH
- Pharmacist
- Venice, FL
National Provider Identifier
1720323124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS22372
- Practice address
- 4173 Tamiami TRL S
Venice, FL 34293-5111 - Phone
- (941) 408-0787
- NPI assigned
- Dec 11, 2012
- 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 | PS22372 | FL | Primary |
Addresses
Primary practice location
4173 Tamiami TRL S
Venice, FL 34293-5111
Mailing address
500 Dona Dr
Nokomis, FL 34275-2614
Phone (941) 408-5099
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS22372 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355184000000",
"number": "1720323124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 DONA DR",
"city": "NOKOMIS",
"state": "FL",
"postal_code": "342752614",
"telephone_number": "941-408-5099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4173 TAMIAMI TRL S",
"city": "VENICE",
"state": "FL",
"postal_code": "342935111",
"telephone_number": "941-408-0787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEHAGEN",
"first_name": "TERRY",
"middle_name": "LYNN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-11",
"last_updated": "2012-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS22372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.