Individual provider Active NPI

Wyatt Edward Sorel, PHARMD

  • Pharmacist
  • Webster, WI
National Provider Identifier
1831912641
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
22771-40 Issued in WI
Practice address
7438 Main St W
Webster, WI 54893-8215
Phone
(715) 866-8644
NPI assigned
Nov 1, 2024
Last updated
Nov 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 22771-40 WI Primary

Addresses

Primary practice location

7438 Main St W
Webster, WI 54893-8215

Mailing address

7438 Main St W
Webster, WI 54893-8215
Phone (715) 866-8644

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

LicenseStateTypeSpecialty
22771-40WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Yellow River Pharmacy Inc PastSince Nov 3, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1831912641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7438 MAIN ST W",
            "city": "WEBSTER",
            "state": "WI",
            "postal_code": "548938215",
            "telephone_number": "715-866-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7438 MAIN ST W",
            "city": "WEBSTER",
            "state": "WI",
            "postal_code": "548938215",
            "telephone_number": "715-866-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOREL",
        "first_name": "WYATT",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "22771-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.