William Ward Wynn

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

06217 Issued in TX

Legal business name

WILLIAM WARD WYNN

Practice address

5824 Babcock Rd
San Antonio, TX 78240-2134

Phone

(210) 696-6269

Fax

(210) 696-8915

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Bill Wynn

Title

Owner

Phone

(210) 696-6269

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• BABCOCK SQUARE Doing business as

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1063524973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5824 BABCOCK RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402134",
            "telephone_number": "210-696-6269",
            "fax_number": "210-696-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5824 BABCOCK RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402134",
            "telephone_number": "210-696-6269",
            "fax_number": "210-696-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM WARD WYNN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "WYNN",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-696-6269"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "06217",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142155",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2102615",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BABCOCK SQUARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William F Terhune DMD PC
• William J Peche, M.D., P. a
• William W White MD PA
• William W. Robbins, D.O.,P.a.
• William W. Schuessler, M.D. P.a.
• Williams Health Care PLLC
• Williams Hill Country Investments Inc
• Megan Rose-Lee Williams Khmelev, MD
• Williams Speech Therapy Services Inc.
• Sharayah Mylargo Williams Stiggers

• Community/Retail Pharmacy in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.