Individual provider Active NPI

Tamara Lynn Wilhoit, R.PH.

  • Pharmacist
  • Macon, MO
National Provider Identifier
1043534845
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
043923 Issued in MO
Practice address
402 E Briggs Dr
Macon, MO 63552-1982
Phone
(660) 385-2147
Fax
(660) 385-5397
NPI assigned
Mar 23, 2010
Last updated
Mar 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 043923 MO Primary

Addresses

Primary practice location

402 E Briggs Dr
Macon, MO 63552-1982

Mailing address

402 E Briggs Dr
Macon, MO 63552-1982
Phone (660) 385-2147

Other identifiers 1

IdentifierTypeStateIssuer
600119804MedicaidMO

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

LicenseStateTypeSpecialty
043923MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Red Cross Pharmacy, LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1043534845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E BRIGGS DR",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635521982",
            "telephone_number": "660-385-2147",
            "fax_number": "660-385-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E BRIGGS DR",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635521982",
            "telephone_number": "660-385-2147",
            "fax_number": "660-385-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHOIT",
        "first_name": "TAMARA",
        "middle_name": "LYNN",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "043923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600119804",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.