Patrick Farrell Wahlquist, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS22578 Issued in FL

Practice address

17324 Main St N
Blountstown, FL 32424-1763

Phone

(850) 674-4557

Fax

(850) 674-4568

NPI assigned

Feb 13, 2007

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

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Golden Pharmacy,Inc

  • Pharmacy
  • Blountstown, FL
  • NPI 1174624365
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952443301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 287",
            "city": "BRISTOL",
            "state": "FL",
            "postal_code": "323210287",
            "telephone_number": "850-643-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17324 MAIN ST N",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324241763",
            "telephone_number": "850-674-4557",
            "fax_number": "850-674-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHLQUIST",
        "first_name": "PATRICK",
        "middle_name": "FARRELL",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS22578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Madison Wright

• Pharmacist in Blountstown, FL
• Providers in Blountstown, FL by specialty
• Pharmacist in Florida

• 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.

Verify at the official NPI Registry.