Active NPI
Ravi A Wankhede, RPH ,CGP
- Geriatric Pharmacist
- Fredericksburg, VA
National Provider Identifier
1790057305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 0202208394
- Practice address
- 11208 Silversmith LN
Fredericksburg, VA 22407-2550 - Phone
- (304) 634-9038
- NPI assigned
- Jan 30, 2012
- Last updated
- Jan 30, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 0202208394 | VA | Primary |
Addresses
Primary practice location
11208 Silversmith LN
Fredericksburg, VA 22407-2550
Mailing address
11208 Silversmith LN
Fredericksburg, VA 22407-2550
Phone (304) 634-9038
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 |
|---|---|---|---|
| 0202208394 | VA | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327881600000",
"number": "1790057305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11208 SILVERSMITH LN",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224072550",
"telephone_number": "304-634-9038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11208 SILVERSMITH LN",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224072550",
"telephone_number": "304-634-9038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANKHEDE",
"first_name": "RAVI",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "RPH ,CGP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-30",
"last_updated": "2012-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "VA",
"license": "0202208394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.