Active NPI
Steven M Wrynn, RPH
- Pharmacist
- New York, NY
National Provider Identifier
1821320235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 36283
- Practice address
- 310 E 14TH St
New York, NY 10003-4201 - Phone
- (212) 979-4380
- NPI assigned
- Feb 10, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 36283 | NY | Primary |
Addresses
Primary practice location
310 E 14TH St
New York, NY 10003-4201
Mailing address
310 E 14TH St
New York, NY 10003-4201
Phone (212) 979-4380
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 |
|---|---|---|---|
| 36283 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280275200000",
"number": "1821320235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 E 14TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034201",
"telephone_number": "212-979-4380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 E 14TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034201",
"telephone_number": "212-979-4380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRYNN",
"first_name": "STEVEN",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-10",
"last_updated": "2010-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "36283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.