Active NPI
Wesley Earnest Fischer
- Pharmacy
- Dallas, GA
National Provider Identifier
1881166056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- RPH31437
- Practice address
- 303 Charlie Watts Dr
Dallas, GA 30157-4907 - Phone
- (770) 443-4886
- NPI assigned
- Dec 27, 2018
- Last updated
- Dec 21, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacy | 333600000X | RPH31437 | GA | Primary |
Addresses
Primary practice location
303 Charlie Watts Dr
Dallas, GA 30157-4907
Mailing address
303 Charlie Watts Dr
Dallas, GA 30157-4907
Phone (770) 443-4886
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 |
|---|---|---|---|
| RPH31437 | GA | MD | Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Pharmacy | Current | Accepting new patients |
| Walgreen Co | Pharmacy | Past | Accepting new patients |
Locations
303 Charlie Watts Dr
Dallas, GA 30157
Phone (770) 443-4886
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, 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": "1545868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1881166056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 CHARLIE WATTS DR",
"city": "DALLAS",
"state": "GA",
"postal_code": "301574907",
"telephone_number": "770-443-4886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 CHARLIE WATTS DR",
"city": "DALLAS",
"state": "GA",
"postal_code": "301574907",
"telephone_number": "770-443-4886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "WESLEY",
"middle_name": "EARNEST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-12-27",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "GA",
"license": "RPH31437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.