Active NPI
Anne C Wynkoop, PHARMD
- Pharmacist
- Kennewick, WA
National Provider Identifier
1053684290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60227237
- Practice address
- 2800 W Clearwater Ave
Kennewick, WA 99336-2945 - Phone
- (509) 783-5412
- NPI assigned
- Feb 20, 2012
- Last updated
- Feb 20, 2012
- 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 | PH60227237 | WA | Primary |
Addresses
Primary practice location
2800 W Clearwater Ave
Kennewick, WA 99336-2945
Mailing address
108 N Mayfield St
Kennewick, WA 99336-3331
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60227237 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1329696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329696000000",
"number": "1053684290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 N MAYFIELD ST",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993363331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 W CLEARWATER AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993362945",
"telephone_number": "509-783-5412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYNKOOP",
"first_name": "ANNE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-20",
"last_updated": "2012-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60227237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennewick, WA
- Cynthia Renee Wright, M.A.
- Jenifer Ann Wright, DPD
- Jennyfer Wright, M.A. CFY-A
- Leeanna Marie Wright
- Sierra Wright
- Xenith Behavioral Health PLLC
- Xenon Anesthesia of Washington PLLC
- Yakim Valley Farm Workers Clinic (Dentistry for Kids)
- Yakim Valley Farm Workers Clinic (Miramar Health Center Kennewick Pharmacy)
- Yakim Valley Farm Workers Clinic (Miramar Health Center Kennewick)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.