Active NPI
Martha Elizabeth Wigg
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- South Williamsport, PA
National Provider Identifier
1881316693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RP041474R
- Practice address
- 518 W Southern Ave
South Williamsport, PA 17702-7223 - Phone
- (570) 323-6090
- NPI assigned
- Sep 19, 2022
- Sex
- Female
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RP041474R | PA | Primary |
Addresses
Primary practice location
518 W Southern Ave
South Williamsport, PA 17702-7223
Mailing address
518 W Southern Ave
South Williamsport, PA 17702-7223
Phone (570) 323-6090
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | endpoint | ||
| Direct Messaging Address | rx01613@cvshealth.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| RP041474R | PA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1881316693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 W SOUTHERN AVE",
"city": "SOUTH WILLIAMSPORT",
"state": "PA",
"postal_code": "177027223",
"telephone_number": "570-323-6090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 W SOUTHERN AVE",
"city": "SOUTH WILLIAMSPORT",
"state": "PA",
"postal_code": "177027223",
"telephone_number": "570-323-6090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGG",
"first_name": "MARTHA",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-19",
"last_updated": "2022-09-19",
"certification_date": "2022-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "PA",
"license": "RP041474R",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "endpoint",
"affiliation": "N",
"address_1": "518 W Southern Ave",
"city": "South Williamsport",
"state": "PA",
"country_code": "US",
"postal_code": "177027223",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rx01613@cvshealth.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "518 W Southern Ave",
"city": "South Williamsport",
"state": "PA",
"country_code": "US",
"postal_code": "177027223",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in South Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.