Active NPI
William Webb Jr.
- Pharmacy
- Wellston, OK
National Provider Identifier
1083178891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 31-8331
- Practice address
- 309 W 2ND St
Wellston, OK 74881 - Phone
- (405) 356-4199
- Fax
- (405) 356-4886
- NPI assigned
- Jan 25, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacy | 333600000X | 31-8331 | OK | Primary |
Addresses
Primary practice location
309 W 2ND St
Wellston, OK 74881
Mailing address
PO Box 56
Wellston, OK 74881-0056
Phone (405) 356-4199
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31-8331 | OK | MD | Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmacy @ Wellston | Pharmacy | 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 and National Provider Directory roles.
-
- Pharmacy
- Wellston, OK
- NPI 1174088454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548374400000",
"number": "1083178891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 56",
"city": "WELLSTON",
"state": "OK",
"postal_code": "748810056",
"telephone_number": "405-356-4199",
"fax_number": "405-356-4886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 W 2ND ST",
"city": "WELLSTON",
"state": "OK",
"postal_code": "74881",
"telephone_number": "405-356-4199",
"fax_number": "405-356-4886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "WILLIAM",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-25",
"last_updated": "2019-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "OK",
"license": "31-8331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellston, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.