NPIMap

Organization Active NPI

Wenjest Corporation

  • Pharmacy
  • Edmond, OK
National Provider Identifier
1194764571
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
1-5209 Issued in OK
Legal business name
WENJEST CORPORATION
Doing business as
WILLIAMS PHARMACY #12
Practice address
1151 N Bryant Ave
Edmond, OK 73034-3251
Phone
(405) 844-4404
Fax
(405) 844-4407
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Julie Willis, RPH
Title
Pharmacy Supervisor
Phone
(405) 473-0094

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 1-5209 OK Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

1151 N Bryant Ave
Edmond, OK 73034-3251

Mailing address

1151 N Bryant Ave
Edmond, OK 73034-3251

Other identifiers 2

IdentifierTypeStateIssuer
200116490BMedicaidOK
3720984OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • WILLIAMS PHARMACY #12 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wenjest Corporation5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1194764571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 N BRYANT AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 N BRYANT AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343251",
            "telephone_number": "405-844-4404",
            "fax_number": "405-844-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENJEST CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PHARMACY SUPERVISOR",
        "authorized_official_telephone_number": "405-473-0094",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OK",
            "license": "1-5209",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200116490B",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3720984",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILLIAMS PHARMACY #12",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

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

Verify at the official NPI Registry.