Individual provider Active NPI

Winnie Chepkorir Kirui, PHARMD

  • Pharmacist
  • Odessa, TX
National Provider Identifier
1154923878
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
50592 Issued in TX
Practice address
4210 John Ben Shepperd Pkwy
Odessa, TX 79762-8153
Phone
(432) 368-7744
NPI assigned
Nov 9, 2020
Last updated
Nov 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 50592 TX Primary

Addresses

Primary practice location

4210 John Ben Shepperd Pkwy
Odessa, TX 79762-8153

Mailing address

7021 Spade Ranch Rd
Odessa, TX 79765-2212
Phone (903) 373-1384

Other practice location 1

7021 Spade Ranch Rd
Odessa, TX 79765-2212
Phone (903) 373-1384

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

Practice roles

OrganizationSpecialtyStatusNew patients
S&M Health LLC Current 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, 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": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1154923878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7021 SPADE RANCH RD",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797652212",
            "telephone_number": "903-373-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 JOHN BEN SHEPPERD PKWY",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797628153",
            "telephone_number": "432-368-7744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7021 Spade Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797652212",
            "country_code": "US",
            "telephone_number": "903-373-1384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRUI",
        "first_name": "WINNIE",
        "middle_name": "CHEPKORIR",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "50592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.