Thomas Wissman, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP456367 Issued in PA

Practice address

1630 S Atherton St
State College, PA 16801-6209

Phone

(814) 237-1479

NPI assigned

Nov 14, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • State College, PA
  • NPI 1598866055
  NPD (past)
• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • West Chester, PA
  • NPI 1639063571
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1821706334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 S ATHERTON ST",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 S ATHERTON ST",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016209",
            "telephone_number": "814-237-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISSMAN",
        "first_name": "THOMAS",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP456367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marvin D'Andre Wilson, PHD
• Tiffany Wilson, LMT
• Dawn M Wincek, CRNP
• Han Ann Wingate, LMFT
• Courtney Wissman
• Judith A Withrow, PH.D.
• Paige Witkowski, DO
• David W. Wolfe, M.D.
• Kaitlee A Wolfe, CRNP
• Nicole Jean Wolfe, PA-C

• Pharmacist in State College, PA
• Providers in State College, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.