Active NPI
Lynette Willeto Wasson, PHARM.D
- Pharmacist
- Ogema, MN
National Provider Identifier
1255852026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHAP2170
- Practice address
- 40520 County Highway 34
Ogema, MN 56569-9612 - Phone
- (189) 836-3402
- NPI assigned
- Jul 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | PHAP2170 | AK | |
| Pharmacist | 183500000X | PHAP2170 | AK | Primary |
Addresses
Primary practice location
40520 County Highway 34
Ogema, MN 56569-9612
Mailing address
40520 County Highway 34
Ogema, MN 56569
Phone (218) 983-6380
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 |
|---|---|---|---|
| PHAP2170 | AK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564704000000",
"number": "1255852026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40520 COUNTY HIGHWAY 34",
"city": "OGEMA",
"state": "MN",
"postal_code": "56569",
"telephone_number": "218-983-6380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40520 COUNTY HIGHWAY 34",
"city": "OGEMA",
"state": "MN",
"postal_code": "565699612",
"telephone_number": "189-836-3402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSON",
"first_name": "LYNETTE",
"middle_name": "WILLETO",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-03",
"last_updated": "2019-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist, Pharmacotherapy",
"state": "AK",
"license": "PHAP2170",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "PHAP2170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ogema, MN
- Deanne Lea Udby, PHARMD
- Maureen Rose Van Den Einde, REGISTERED NURSE
- Victoria Varriano, REGISTERED NURSE
- Brittany Dawn Wagner
- Lesley Ann Warnsholz
- Brianna Nancy Watland, RN
- Monica Sue Wenschlag, DNP
- Melissa Lyn Wentz Opsahl, PHARMD, NCPS
- White Earth Band of Chippewa (White Earth Therapy Services)
- White Earth Band of Chippewa Indians (White Earth Family Treatment)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.