Active NPI
Steven N Wolff, RPH
- Pharmacist
- Plymouth, IN
National Provider Identifier
1811547748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20608097A
- Practice address
- Walmart #1978
2505 North Oak Drive
Plymouth, IN 46563 - Phone
- (574) 935-9000
- Fax
- (574) 935-9008
- NPI assigned
- Sep 12, 2019
- Sex
- Male
- Sole proprietor
- No
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 | PS26378 | FL | |
| Pharmacist | 183500000X | 20608097A | IN | Primary |
Addresses
Primary practice location
Walmart #1978
2505 North Oak Drive
Plymouth, IN 46563
Mailing address
68115 Flagler CT
Lakeville, IN 46536-9779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932126815 | Medicaid | IN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | walmart | ||
| CONNECT URL | walmart01978 |
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 |
|---|---|---|---|
| PS26378 | FL | MD | Pharmacist |
| 20608097A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1811547748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68115 FLAGLER CT",
"city": "LAKEVILLE",
"state": "IN",
"postal_code": "465369779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WALMART #1978",
"address_2": "2505 NORTH OAK DRIVE",
"city": "PLYMOUTH",
"state": "IN",
"postal_code": "46563",
"telephone_number": "574-935-9000",
"fax_number": "574-935-9008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFF",
"first_name": "STEVEN",
"middle_name": "N",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-12",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS26378",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "20608097A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1932126815",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "walmart",
"affiliation": "N",
"address_1": "WalMart #1978",
"address_2": "2505 North Oak Drive",
"city": "Plymouth",
"state": "IN",
"country_code": "US",
"postal_code": "46563",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "walmart01978",
"affiliation": "Y",
"address_1": "WalMart #1978",
"address_2": "2505 North Oak Drive",
"city": "Plymouth",
"state": "IN",
"country_code": "US",
"postal_code": "46563",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Plymouth, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.