Active NPI
Wilda L Wright, PHARMD
- Pharmacist
- Glendale, CA
National Provider Identifier
1902151475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 41590
- Practice address
- 109 N Chevy Chase Dr
#207
Glendale, CA 91206-5840 - Phone
- (310) 994-6731
- Fax
- (818) 243-1918
- NPI assigned
- Jul 19, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 41590 | CA | Primary |
| Pharmacist | 183500000X | 9068 | NV |
Addresses
Primary practice location
109 N Chevy Chase Dr
#207
Glendale, CA 91206-5840
Mailing address
1542 Columbia Dr
Glendale, CA 91205-3508
Phone (310) 994-6731
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9068 | NV | MD | Pharmacist |
| 41590 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342656000000",
"number": "1902151475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1542 COLUMBIA DR",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912053508",
"telephone_number": "310-994-6731",
"fax_number": "818-243-1918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 N CHEVY CHASE DR",
"address_2": "#207",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912065840",
"telephone_number": "310-994-6731",
"fax_number": "818-243-1918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "WILDA",
"middle_name": "L",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-19",
"last_updated": "2012-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "41590",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "9068",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.