Active NPI
Joseph Wiggins, PHARMD
- Pharmacist
- Kennewick, WA
National Provider Identifier
1730585498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60501721
- Practice address
- 1106 N Columbia Center Blvd
Kennewick, WA 99336-1161 - Phone
- (509) 737-1700
- NPI assigned
- Nov 7, 2014
- Last updated
- Nov 22, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | PH60501721 | WA | Primary |
Addresses
Primary practice location
1106 N Columbia Center Blvd
Kennewick, WA 99336-1161
Mailing address
2567 Casa Bella Ave
Richland, WA 99352-5527
Phone (541) 517-6953
Other practice location 1
3333 Wheaton Way
Bremerton, WA 98310-3449
Phone (360) 782-0907
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 |
|---|---|---|---|
| PH60501721 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington CVS Pharmacy LLC | Past | Accepting new patients | |
| Washington CVS Pharmacy LLC | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 4
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1730585498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2567 CASA BELLA AVE",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993525527",
"telephone_number": "541-517-6953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 N COLUMBIA CENTER BLVD",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993361161",
"telephone_number": "509-737-1700"
}
],
"practiceLocations": [
{
"address_1": "3333 Wheaton Way",
"address_purpose": "LOCATION",
"city": "Bremerton",
"state": "WA",
"postal_code": "983103449",
"country_code": "US",
"telephone_number": "360-782-0907",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIGGINS",
"first_name": "JOSEPH",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-07",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60501721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.