Active NPI
Shawn Cummings Wilt
- Pharmacist
- Toledo, OH
National Provider Identifier
1962538801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03-1-22445
- Practice address
- 7504 West Central Avenue
Toledo, OH 43617 - Phone
- (419) 841-8525
- Fax
- (419) 841-8620
- NPI assigned
- Feb 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03-1-22445 | OH | Primary |
Addresses
Primary practice location
7504 West Central Avenue
Toledo, OH 43617
Mailing address
2624 Drummond Rd
Toledo, OH 43606-3045
Phone (419) 534-5587
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Ohio Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Toledo, OH
- NPI 1740332683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962538801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2624 DRUMMOND RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063045",
"telephone_number": "419-534-5587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7504 WEST CENTRAL AVENUE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43617",
"telephone_number": "419-841-8525",
"fax_number": "419-841-8620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILT",
"first_name": "SHAWN",
"middle_name": "CUMMINGS",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03-1-22445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
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.