Individual provider Active NPI

Evan Bryce Wearne, PHARM.D.

  • Pharmacist
  • Silver Spring, MD
National Provider Identifier
1952679342
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13125 Issued in NE
Practice address
1511 Heather Hollow Cir Apt 21
Silver Spring, MD 20904-2351
Phone
(308) 641-0879
Fax
(301) 431-6356
NPI assigned
Dec 13, 2011
Last updated
Dec 13, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13125 NE Primary

Addresses

Primary practice location

1511 Heather Hollow Cir Apt 21
Silver Spring, MD 20904-2351

Mailing address

1511 Heather Hollow Cir Apt 21
Silver Spring, MD 20904-2351
Phone (308) 641-0879

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

LicenseStateTypeSpecialty
13125NEMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1952679342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 HEATHER HOLLOW CIR APT 21",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042351",
            "telephone_number": "308-641-0879",
            "fax_number": "301-431-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 HEATHER HOLLOW CIR APT 21",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042351",
            "telephone_number": "308-641-0879",
            "fax_number": "301-431-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEARNE",
        "first_name": "EVAN",
        "middle_name": "BRYCE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "13125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.