Active NPI
Kristin Sheneman, PHARM. D
- Pharmacist
- Weleetka, OK
National Provider Identifier
1124574496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16009
- Practice address
- 309 W. 9TH Street
Weleetka, OK 74880 - Phone
- (405) 786-2247
- Fax
- (405) 786-2409
- NPI assigned
- Aug 28, 2016
- 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 | 16009 | OK | Primary |
Addresses
Primary practice location
309 W. 9TH Street
Weleetka, OK 74880
Mailing address
PO Box 727
Weleetka, OK 74880
Phone (405) 786-2247
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 |
|---|---|---|---|
| 16009 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weleetka Drug Incorporated | 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.
-
- Community/Retail Pharmacy
- Weleetka, OK
- NPI 1639575269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472342400000",
"number": "1124574496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 727",
"city": "WELEETKA",
"state": "OK",
"postal_code": "74880",
"telephone_number": "405-786-2247",
"fax_number": "405-786-2409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 W. 9TH STREET",
"city": "WELEETKA",
"state": "OK",
"postal_code": "74880",
"telephone_number": "405-786-2247",
"fax_number": "405-786-2409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHENEMAN",
"first_name": "KRISTIN",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-28",
"last_updated": "2016-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "16009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weleetka, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.