Active NPI
Wenjest Corporation
- Pharmacy
- Del City, OK
National Provider Identifier
1326085754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 1-5208
- Legal business name
- WENJEST CORPORATION
- Doing business as
- WILLIAMS PHARMACY #11
- Practice address
- 4129 SE 29TH St
Del City, OK 73115-2643 - Phone
- (405) 672-2180
- Fax
- (405) 672-2367
- NPI assigned
- Jun 2, 2006
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 1-5208 | OK | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
4129 SE 29TH St
Del City, OK 73115-2643
Mailing address
4129 SE 29TH St
Del City, OK 73115-2643
Phone (405) 672-2180
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200116490A | Medicaid | OK | |
| 3723815 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- WILLIAMS PHARMACY #11
National Provider Directory
National Provider Directory- Tax ID family
- Wenjest Corporation
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Yukon, OK
- NPI 1053358713
-
- Pharmacy
- Edmond, OK
- NPI 1194764571
-
- Pharmacy
- Oklahoma City, OK
- NPI 1386683761
-
- Pharmacy
- Midwest City, OK
- NPI 1568401941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211414400000",
"number": "1326085754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4129 SE 29TH ST",
"city": "DEL CITY",
"state": "OK",
"postal_code": "731152643",
"telephone_number": "405-672-2180",
"fax_number": "405-672-2367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4129 SE 29TH ST",
"city": "DEL CITY",
"state": "OK",
"postal_code": "731152643",
"telephone_number": "405-672-2180",
"fax_number": "405-672-2367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WENJEST CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-02",
"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": "1-5208",
"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": "200116490A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3723815",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WILLIAMS PHARMACY #11",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Del City, 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.