Active NPI
Amy Wiglesworth Bryk, PHARM.D
- Oncology Pharmacist
- Baltimore, MD
National Provider Identifier
1790054294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- 19731
- Practice address
- 600 N Wolfe St
Carnegie 180
Baltimore, MD 21287-0005 - Phone
- (443) 287-5193
- NPI assigned
- Dec 29, 2011
- Last updated
- Jun 11, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | 056046-1 | NY | |
| Oncology Pharmacist | 1835X0200X | 20342 | NC | |
| Oncology Pharmacist | 1835X0200X | 19731 | MD | Primary |
Addresses
Primary practice location
600 N Wolfe St
Carnegie 180
Baltimore, MD 21287-0005
Mailing address
600 N Wolfe St
Carnegie 180
Baltimore, MD 21287-0005
Phone (443) 287-5193
Other names 1
- Dr. Amy Kathryn Wiglesworth
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 |
|---|---|---|---|
| 20342 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 056046-1 | NY | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402444800000",
"number": "1790054294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N WOLFE ST",
"address_2": "CARNEGIE 180",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870005",
"telephone_number": "443-287-5193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N WOLFE ST",
"address_2": "CARNEGIE 180",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870005",
"telephone_number": "443-287-5193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYK",
"first_name": "AMY",
"middle_name": "WIGLESWORTH",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-29",
"last_updated": "2014-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "NY",
"license": "056046-1",
"primary": false
},
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "NC",
"license": "20342",
"primary": false
},
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "MD",
"license": "19731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "WIGLESWORTH",
"middle_name": "KATHRYN",
"prefix": "DR.",
"credential": "PHARM.D",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.