Active NPI
Kirk Chapman Wentworth, PHARMACIST
- Pharmacist
- Carson City, NV
National Provider Identifier
1871905554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 07247
- Practice address
- 3701 S Carson St
Carson City, NV 89701-5534 - Phone
- (775) 882-3116
- Fax
- (775) 882-4528
- NPI assigned
- May 29, 2014
- 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 | 07247 | NV | Primary |
Addresses
Primary practice location
3701 S Carson St
Carson City, NV 89701-5534
Mailing address
3701 S Carson St
Carson City, NV 89701-5534
Phone (775) 882-3116
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07247 | NV | MD | Pharmacist |
Practice roles
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Carson City, NV
- NPI 1144330812
-
- Community/Retail Pharmacy
- Galt, CA
- NPI 1174633820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407801600000",
"number": "1871905554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 S CARSON ST",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897015534",
"telephone_number": "775-882-3116",
"fax_number": "775-882-4528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 S CARSON ST",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897015534",
"telephone_number": "775-882-3116",
"fax_number": "775-882-4528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENTWORTH",
"first_name": "KIRK",
"middle_name": "CHAPMAN",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-29",
"last_updated": "2014-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "07247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.