Wayne Douglas Vanwie, PD

Primary specialty

PharmacistTaxonomy code 183500000X

License

11499 Issued in MD

Practice address

9106 Philadelphia Rd
Suite 100
Baltimore, MD 21237-4329

Phone

(410) 687-8113

Fax

(410) 391-3922

NPI assigned

Sep 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• John Wayne Pharmacy LLC

  dba Professional Pharmacy

  • Pharmacist
  • Baltimore, MD
  • NPI 1417354085
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770683708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N ROLLING RD",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284254",
            "telephone_number": "410-719-0932",
            "fax_number": "410-391-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9106 PHILADELPHIA RD",
            "address_2": "SUITE 100",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374329",
            "telephone_number": "410-687-8113",
            "fax_number": "410-391-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANWIE",
        "first_name": "WAYNE",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "PD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "11499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY NPI",
            "identifier": "1457394108",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander L Vanslyke, PHD
• Vantage Point Behavioral Health
• Taylor Vantassell
• Donald Vanwie
• John Francis Vanwie, P.D.
• Lauren Vanwinkle, PA-C
• Irina Alexandrovna Vanzhula, PHD
• Rachel Alexander Vaquerano, CCC-SLP
• Mya Vardi
• Erin E Varela, OTR/L

• Pharmacist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Pharmacist in Maryland

• 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.

Verify at the official NPI Registry.