Wyatt D Demaline · Pharmacist

6002 Saint Joe Center Rd, Fort Wayne, IN 46835-2503

Overview

Wyatt D Demaline is a Pharmacist practicing in Fort Wayne, Indiana. The National Provider Identifier (NPI) is #1841133154, which was assigned on April 11, 2026, and the registration record was last updated on April 11, 2026. The practitioner's main practice location is at 6002 Saint Joe Center Rd, Fort Wayne, IN 46835-2503; the contact telephone number is 2604922054. The primary taxonomy of Wyatt D Demaline is Pharmacist (183500000X). Wyatt D Demaline is licensed to practice in the state of Indiana (#26031135A).

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Provider Information

NPI 1841133154
Entity Type Individual
Provider Name WYATT D DEMALINE
Gender Male
Practice Address 6002 Saint Joe Center Rd
Fort Wayne
IN 46835-2503
Practice Telephone 2604922054
Mailing Address 6002 Saint Joe Center Rd
Fort Wayne
IN 46835-2503
Mailing Telephone 2604922054
Certification Date 2026-04-11
Enumeration Date 2026-04-11
Last Update Date 2026-04-11
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y183500000XPharmacist26031135AIN

Taxonomy Information

Primary Taxonomy

Code 183500000X
Taxonomy Pharmacist
Classification Pharmacist
Grouping Pharmacy Service Providers
Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

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Location Information

Street Address 6002 SAINT JOE CENTER RD
City FORT WAYNE
State IN
Zip Code 46835-2503
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Amy L Hupe · Amy L Hurst 6400 Rothman Rd, Fort Wayne, IN 46835-1366Family Nurse Practitioner2010-10-20
Jenny Mcclain 5693 Ymca Park Dr W, Fort Wayne, IN 46835-3280Registered Nurse2022-06-28
Meghan Taylor 5534 Saint Joe Rd, Fort Wayne, IN 46835-3328Social Worker2022-09-14
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Tiana Munro 6233 Justin Ct, Fort Wayne, IN 46835-2516Behavior Technician2026-03-10
Timbrook Psychological Services 6829 Ramblewood Dr Apt E, Fort Wayne, IN 46835-1738Clinical Psychologist2026-02-23
Erin R Griffin 5621 Woodshire Dr Apt 5, Fort Wayne, IN 46835-2959Physician Assistant2020-08-22
Hzra Optometry, LLC 5711 Ymca Park Dr E, Fort Wayne, IN 46835-3279Optometrist2025-07-18
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.