Active NPI
Mary Katherine Wheatley
- Pharmacist
- Ontario, OR
National Provider Identifier
1174778849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6366
- Practice address
- 728 SW 4TH Ave
Ontario, OR 97914-2626 - Phone
- (541) 889-3390
- Fax
- (541) 889-4488
- NPI assigned
- Nov 22, 2008
- Last updated
- Nov 22, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P3857 | ID | |
| Pharmacist | 183500000X | 6366 | OR | Primary |
Addresses
Primary practice location
728 SW 4TH Ave
Ontario, OR 97914-2626
Mailing address
728 SW 4TH Ave
Ontario, OR 97914-2626
Phone (541) 889-3390
Other names 1
- Ms. Mary Wheatley
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P3857 | ID | MD | Pharmacist |
| 6366 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | 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.
-
dba Rite Aid Pharmacy 05400
- Community/Retail Pharmacy
- Ontario, OR
- NPI 1659480945
-
dba Rite Aid Pharmacy 06833
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227312000000",
"number": "1174778849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "728 SW 4TH AVE",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979142626",
"telephone_number": "541-889-3390",
"fax_number": "541-889-4488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "728 SW 4TH AVE",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979142626",
"telephone_number": "541-889-3390",
"fax_number": "541-889-4488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEATLEY",
"first_name": "MARY",
"middle_name": "KATHERINE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-22",
"last_updated": "2008-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P3857",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "6366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "WHEATLEY",
"prefix": "MS.",
"credential": "R.PH.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Ontario, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.