Active NPI
Kelly Lynne Wurzler, PHARM.D.
- Pharmacist
- Wyalusing, PA
National Provider Identifier
1790822005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP438511
- Practice address
- 137 Main Street
Wyalusing, PA 18853 - Phone
- (570) 746-1004
- Fax
- (570) 746-9470
- NPI assigned
- Jan 30, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP438511 | PA | Primary |
Addresses
Primary practice location
137 Main Street
Wyalusing, PA 18853
Mailing address
RR 2 Box 2121
Laceyville, PA 18623
Phone (570) 869-2958
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 |
|---|---|---|---|
| RP438511 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790822005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 2 BOX 2121",
"city": "LACEYVILLE",
"state": "PA",
"postal_code": "18623",
"telephone_number": "570-869-2958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 MAIN STREET",
"city": "WYALUSING",
"state": "PA",
"postal_code": "18853",
"telephone_number": "570-746-1004",
"fax_number": "570-746-9470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WURZLER",
"first_name": "KELLY",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP438511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyalusing, PA
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.