Active NPI
Waring Wyche III, RPH
- Pharmacist
- Madison, FL
National Provider Identifier
1750426359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS27220
- Practice address
- 729 W Base St
Madison, FL 32340-1461 - Phone
- (850) 973-2719
- Fax
- (850) 973-2987
- NPI assigned
- Feb 21, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS27220 | FL | Primary |
| Pharmacist | 183500000X | RPH016958 | GA |
Addresses
Primary practice location
729 W Base St
Madison, FL 32340-1461
Mailing address
PO Box 1004
Madison, FL 32341-5004
Phone (850) 973-2796
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS27220 | Other | FL | PHARMCIST LISCENSE |
| RPH016958 | Other | GA | PHARMACIST LISCENSE |
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 |
|---|---|---|---|
| PS27220 | FL | MD | Pharmacist |
| RPH016958 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750426359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1004",
"city": "MADISON",
"state": "FL",
"postal_code": "323415004",
"telephone_number": "850-973-2796",
"fax_number": "850-973-2987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 W BASE ST",
"city": "MADISON",
"state": "FL",
"postal_code": "323401461",
"telephone_number": "850-973-2719",
"fax_number": "850-973-2987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYCHE",
"first_name": "WARING",
"name_suffix": "III",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS27220",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH016958",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMCIST LISCENSE",
"identifier": "PS27220",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LISCENSE",
"identifier": "RPH016958",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.