Individual provider Active NPI

Nathan S Wende, PHARM.D.

  • Pharmacist
  • Spokane, WA
National Provider Identifier
1144381716
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH00045533 Issued in WA
Practice address
104 S Freya St Ste 225
Spokane, WA 99202-4887
Phone
(509) 343-5134
Fax
(509) 343-5199
NPI assigned
Dec 13, 2006
Last updated
May 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH00045533 WA Primary

Addresses

Primary practice location

104 S Freya St Ste 225
Spokane, WA 99202-4887

Mailing address

104 S Freya St Ste 225
Spokane, WA 99202-4887
Phone (509) 343-5134

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)
Enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PH00045533WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Medication Review Inc CurrentSince May 1, 2021 Accepting new patients

Locations

104 S Freya St
Ste 225
Spokane, WA 99202
Phone (509) 343-5200

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, 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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1144381716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S FREYA ST STE 225",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024887",
            "telephone_number": "509-343-5134",
            "fax_number": "509-343-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S FREYA ST STE 225",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024887",
            "telephone_number": "509-343-5134",
            "fax_number": "509-343-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDE",
        "first_name": "NATHAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00045533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.