Individual provider Active NPI

Diana Wenke

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Iowa City, IA
National Provider Identifier
1336815968
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
24327 Issued in IA
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
24327IAMDPharmacist
19330OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince May 8, 2022 Accepting new patients
Walgreen Co PastSince Aug 1, 2021 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.

Verify at the official NPI Registry.