Shawn Martin Wedworth, PHARM.D.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

47280 Issued in CA

Practice address

820 Wales Dr
Folsom, CA 95630-5546

Phone

(916) 984-9222

Fax

(916) 458-8267

NPI assigned

Dec 14, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576281600000",
    "number": "1902444581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 SPRINGER RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956679210",
            "telephone_number": "916-397-9357",
            "fax_number": "916-458-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 WALES DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956305546",
            "telephone_number": "916-984-9222",
            "fax_number": "916-458-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDWORTH",
        "first_name": "SHAWN",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-14",
        "last_updated": "2019-12-14",
        "certification_date": "2019-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "47280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Ryan Way, N.D.
• Mac Theodore Wayment, DO
• Dennis M Wazac, D.C.
• Aggie Weber
• Alison Castro Webster, LCSW
• Sarah Wegemer, PHARMD
• Eric D Weill, DPT
• Michael Jon Weiss
• Richard Craig Weiss, MD
• Shannon Weiss

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Folsom, CA
• Providers in Folsom, CA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.