Active NPI
Stephanie Wildenhain
- Pharmacist
- Warwick, RI
National Provider Identifier
1881008548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH04830
- Practice address
- 83 Vermont Ave Unit 2
Warwick, RI 02888-3047 - Phone
- (401) 737-4165
- Fax
- (800) 229-3280
- NPI assigned
- Jun 20, 2014
- Last updated
- Jun 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | RPH04830 | RI | Primary |
Addresses
Primary practice location
83 Vermont Ave Unit 2
Warwick, RI 02888-3047
Mailing address
83 Vermont Ave Unit 2
Warwick, RI 02888-3047
Phone (401) 737-4165
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 |
|---|---|---|---|
| RPH04830 | RI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmacy Corporation of America | Past | 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": "1403222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403222400000",
"number": "1881008548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 VERMONT AVE UNIT 2",
"city": "WARWICK",
"state": "RI",
"postal_code": "028883047",
"telephone_number": "401-737-4165",
"fax_number": "800-229-3280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 VERMONT AVE UNIT 2",
"city": "WARWICK",
"state": "RI",
"postal_code": "028883047",
"telephone_number": "401-737-4165",
"fax_number": "800-229-3280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDENHAIN",
"first_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-20",
"last_updated": "2014-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "RI",
"license": "RPH04830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
- Patrick Wieszciecinski, M.A., BCBA, LBA
- Nicole Wiggins, MCH-A
- Wilbea Medical Equipment LLC (Wilbea Medical Equipment)
- Melissa Ann Alba Wilbur, MSPT
- Michaela Ann Wilcox, MS, CCC-SLP
- Kathryn Wiley
- Wilfredo L Sancianco DMD
- Wilfredo L Sancianco DMD Inc
- Wilfredo L Sancianco DMD Inc (Wilfredo Sancianco DMD)
- Robert Wilhelm, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.