Active NPI
Westley Victor Waller III, PHARM D.
- Pharmacist
- Dayton, NJ
National Provider Identifier
1740538610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI03514800
- Practice address
- K7 E Garden Way
Dayton, NJ 08810-1381 - Phone
- (732) 887-0413
- NPI assigned
- Aug 26, 2012
- Last updated
- Aug 26, 2012
- 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 | 28RI03514800 | NJ | Primary |
Addresses
Primary practice location
K7 E Garden Way
Dayton, NJ 08810-1381
Mailing address
K7 E Garden Way
Dayton, NJ 08810-1381
Phone (732) 887-0413
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 |
|---|---|---|---|
| 28RI03514800 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terrace Apothecary Inc | Current | Accepting new patients | |
| Terrace Apothecary Inc | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Long Term Care Pharmacy
- Haworth, NJ
- NPI 1528845120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345939200000",
"number": "1740538610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "K7 E GARDEN WAY",
"city": "DAYTON",
"state": "NJ",
"postal_code": "088101381",
"telephone_number": "732-887-0413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "K7 E GARDEN WAY",
"city": "DAYTON",
"state": "NJ",
"postal_code": "088101381",
"telephone_number": "732-887-0413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLER",
"first_name": "WESTLEY",
"middle_name": "VICTOR",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-26",
"last_updated": "2012-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03514800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.