WT Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301009238 Issued in MI

Legal business name

WT CORP

Practice address

20597 State St
Onaway, MI 49765-8665

Phone

(989) 733-4106

Fax

(989) 733-8186

NPI assigned

Nov 17, 2009

Organization subpart

No

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

Authorized official

Name

Ryan Howell

Title

VP

Phone

(989) 733-8229

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Tom's Family Market Doing business as

Locations

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1295062941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20597 STATE ST",
            "address_2": "P.O. BOX 119",
            "city": "ONAWAY",
            "state": "MI",
            "postal_code": "497658665",
            "telephone_number": "989-733-8229",
            "fax_number": "989-733-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20597 STATE ST",
            "city": "ONAWAY",
            "state": "MI",
            "postal_code": "497658665",
            "telephone_number": "989-733-4106",
            "fax_number": "989-733-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "989-733-8229"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301009238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2122669",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tom's Family Market",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thunder Bay Community Health Service, Inc.
• Lindsay Ann Walker, LLMSW
• Gary E Willey
• Cori Williams, FNP
• Heidi Wilson, DENIAL HYGINIST
• Joshua Wyeth

• All providers in Onaway, MI
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.