Active NPI
Diana Wenke
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Iowa City, IA
National Provider Identifier
1336815968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 24327
- Practice address
- Iowa City VA Medical Center
601 US-6 W
Iowa City, IA 52246 - Phone
- (319) 338-0581
- NPI assigned
- Aug 23, 2021
- Last updated
- Mar 29, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19330 | OK | |
| Pharmacist | 183500000X | 24327 | IA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 19330 | OK | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 24327 | IA | Primary |
Addresses
Primary practice location
Iowa City VA Medical Center
601 US-6 W
Iowa City, IA 52246
Mailing address
717 S Houston Ave Ste 103
Tulsa, OK 74127-9009
Other practice location 1
717 S Houston Ave Ste 103
Tulsa, OK 74127-9009
Phone (918) 585-1957
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 |
|---|---|---|---|
| 24327 | IA | MD | Pharmacist |
| 19330 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
717 S Houston Ave
Ste 103
Tulsa, OK 74127
Phone (918) 585-1957
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1336815968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 S HOUSTON AVE STE 103",
"city": "TULSA",
"state": "OK",
"postal_code": "741279009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "IOWA CITY VA MEDICAL CENTER",
"address_2": "601 US-6 W",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52246",
"telephone_number": "319-338-0581"
}
],
"practiceLocations": [
{
"address_1": "717 S Houston Ave Ste 103",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741279009",
"country_code": "US",
"telephone_number": "918-585-1957",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WENKE",
"first_name": "DIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-23",
"last_updated": "2024-03-29",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "19330",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "24327",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OK",
"license": "19330",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "IA",
"license": "24327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.