Active NPI
Adria Wolver, RPH
- Pharmacist
- Ottumwa, IA
National Provider Identifier
1962998542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17282
- Practice address
- 107 W Main St
Ottumwa, IA 52501-2542 - Phone
- (641) 684-5453
- NPI assigned
- Jul 6, 2018
- Sex
- Female
- 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 | 17282 | IA | Primary |
Addresses
Primary practice location
107 W Main St
Ottumwa, IA 52501-2542
Mailing address
107 W Main St
Ottumwa, IA 52501-2542
Phone (641) 684-5453
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730117581 | Other | PHARMACY |
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 |
|---|---|---|---|
| 17282 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530835200000",
"number": "1962998542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 W MAIN ST",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525012542",
"telephone_number": "641-684-5453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 W MAIN ST",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525012542",
"telephone_number": "641-684-5453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLVER",
"first_name": "ADRIA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-06",
"last_updated": "2018-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "17282",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY",
"identifier": "1730117581",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Ottumwa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.