Active NPI
Russell Wolfshagen, PHARMD
- Pharmacist
- San Francisco, CA
National Provider Identifier
1770914897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 49762
- Practice address
- 4108 Pacheco St
San Francisco, CA 94116-1011 - Phone
- (415) 566-8125
- Fax
- (415) 566-8125
- NPI assigned
- Dec 1, 2013
- 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 | 49762 | CA | Primary |
| Pharmacist | 183500000X | 3176 | HI |
Addresses
Primary practice location
4108 Pacheco St
San Francisco, CA 94116-1011
Mailing address
4108 Pacheco St
San Francisco, CA 94116-1011
Phone (415) 566-8125
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 |
|---|---|---|---|
| 49762 | CA | MD | Marriage & Family Therapist |
| 3176 | HI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385856000000",
"number": "1770914897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4108 PACHECO ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941161011",
"telephone_number": "415-566-8125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4108 PACHECO ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941161011",
"telephone_number": "415-566-8125",
"fax_number": "415-566-8125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFSHAGEN",
"first_name": "RUSSELL",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-01",
"last_updated": "2013-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "49762",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "3176",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.