Active NPI
Timothy Owen Waymire, RPH
- Pharmacist
- Elk Horn, IA
National Provider Identifier
1922138577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17110
- Practice address
- 4022 Main St
Elk Horn, IA 51531-0355 - Phone
- (712) 764-2334
- Fax
- (712) 764-2337
- NPI assigned
- Mar 6, 2007
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17110 | IA | Primary |
Addresses
Primary practice location
4022 Main St
Elk Horn, IA 51531-0355
Mailing address
2016 NE 1St
Box 97
Elk Horn, IA 51531-0097
Phone (712) 764-2334
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17110 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922138577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2016 NE 1ST",
"address_2": "BOX 97",
"city": "ELK HORN",
"state": "IA",
"postal_code": "515310097",
"telephone_number": "712-764-2334",
"fax_number": "712-764-2337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4022 MAIN ST",
"city": "ELK HORN",
"state": "IA",
"postal_code": "515310355",
"telephone_number": "712-764-2334",
"fax_number": "712-764-2337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAYMIRE",
"first_name": "TIMOTHY",
"middle_name": "OWEN",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "17110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Horn, IA
- Robyn Renee Peterson, COTA L
- Kinsey Olivia-Marie Phifer
- Shelby County Chris a Myrtue Memorial Hospital (Myrtue Medical Center - G.E. Larson Elk Horn-Kimballton Clinic)
- Shelby County Chris a. Myrtue Memorial Hospital (Myrtue Medical Center-GE Larson Elk Horn Kimballton Medical Clinic)
- Sheila Marie Smith, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.