John Wayne Hewkin, RPH.
Individual provider Active NPI Pharmacist · Cuba, MO
NPI 1104099290 · NPPES record last updated Apr 9, 2008
Key facts
- NPI
- 1104099290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 41734 (MO)
- Practice address
- 200 N Franklin St
Cuba, MO 65453-1705 - Phone
- (573) 885-7212
- Fax
- (573) 885-6798
- NPI assigned
- Apr 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41734 | MO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 41734 | MO | Yes |
Addresses
Primary practice location
200 N Franklin St
Cuba, MO 65453-1705
Mailing address
PO Box I
Cuba, MO 65453-0049
Phone (573) 885-7212
Other providers in Cuba, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.