Active NPI
Wendy D Bain, PHARMD
- Pharmacist
- El Dorado, AR
National Provider Identifier
1134498868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- AR09224
- Practice address
- 2135 N West Ave
El Dorado, AR 71730-3351 - Phone
- (870) 862-5458
- Fax
- (870) 862-0076
- NPI assigned
- Dec 27, 2011
- Last updated
- Dec 27, 2011
- 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 | AR09224 | AR | Primary |
Addresses
Primary practice location
2135 N West Ave
El Dorado, AR 71730-3351
Mailing address
PO Box 491
Norphlet, AR 71759-0491
Phone (870) 546-2704
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 |
|---|---|---|---|
| AR09224 | AR | 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": "1324944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324944000000",
"number": "1134498868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 491",
"city": "NORPHLET",
"state": "AR",
"postal_code": "717590491",
"telephone_number": "870-546-2704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2135 N WEST AVE",
"city": "EL DORADO",
"state": "AR",
"postal_code": "717303351",
"telephone_number": "870-862-5458",
"fax_number": "870-862-0076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIN",
"first_name": "WENDY",
"middle_name": "D",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-27",
"last_updated": "2011-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "AR09224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Dorado, AR
- Hanna Paige Avery
- Vincent Jerome Ayers, LCRP
- Lilli-Anna Baca
- Gregory S. Backofen, M.D.
- Alicia Marie Bailey, PTA
- Latisha Baker
- Susan G Baker, MS CCC-SLP
- Baptist Health (Baptist Health Medical Center - El Dorado)
- Baptist Health (Baptist Health Medical Center - El Dorado)
- Baptist Health (Baptist Health Medical Center - El Dorado)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.