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1396630455 NPI number — CATHERINE E WYMER PHARMD

NPI Number: 1396630455
Health Care Provider/Practitioner: CATHERINE E WYMER PHARMD

Information about “1396630455” NPI (CATHERINE E WYMER PHARMD) exists in 1396630455 in HTML format HTML  |  1396630455 in plain Text format TXT  |  1396630455 in PDF (Portable Document Format) PDF  |  1396630455 in an XML format XML  formats.

NPI Number : 1396630455 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396630455",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WYMER",
    "FirstName": "CATHERINE",
    "MiddleName": "E",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHARMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4040 WILSON BLVD APT 1412",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ARLINGTON",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22203-4473",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "412-973-4447",
    "MailingAddressFaxNumber": "412-973-4447",
    "FirstLinePracticeLocationAddress": "8280 WILLOW OAKS CO DR STE 250",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FAIRFAX",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22031-4526",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "571-472-1678",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/10/2025",
    "LastUpdateDate": "06/10/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "RP456776",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "29189",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1835P2201X",
          "TaxonomyName": "Ambulatory Care Pharmacist",
          "LicenseNumber": "0202222304",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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