Active NPI
Donald Wicher, R.PH.
- Pharmacist
- Poulsbo, WA
National Provider Identifier
1922481878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60125094
- Practice address
- 21200 Olhava Way NW
Poulsbo, WA 98370-9457 - Phone
- (360) 697-2091
- Fax
- (360) 697-2417
- NPI assigned
- Jul 9, 2015
- Sex
- Male
- Sole proprietor
- No
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 | PH60125094 | WA | Primary |
| Pharmacist | 183500000X | 31100 | NY |
Addresses
Primary practice location
21200 Olhava Way NW
Poulsbo, WA 98370-9457
Mailing address
21200 Olhava Way NW
Poulsbo, WA 98370-9457
Phone (360) 697-2091
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 |
|---|---|---|---|
| 31100 | NY | MD | Pharmacist |
| PH60125094 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436400000000",
"number": "1922481878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21200 OLHAVA WAY NW",
"city": "POULSBO",
"state": "WA",
"postal_code": "983709457",
"telephone_number": "360-697-2091",
"fax_number": "360-697-2417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21200 OLHAVA WAY NW",
"city": "POULSBO",
"state": "WA",
"postal_code": "983709457",
"telephone_number": "360-697-2091",
"fax_number": "360-697-2417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICHER",
"first_name": "DONALD",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-09",
"last_updated": "2015-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60125094",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "31100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poulsbo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.