Active NPI
William Mussler, DPH
- Clinic Pharmacy
- Wetumka, OK
National Provider Identifier
1336825629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- License
- 15349
- Practice address
- 325 S Washita St
Wetumka, OK 74883-5522 - Phone
- (405) 452-1313
- Fax
- (405) 452-3872
- NPI assigned
- Jun 22, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | 26016221A | IN | |
| Clinic Pharmacy | 3336C0002X | 15349 | OK | Primary |
Addresses
Primary practice location
325 S Washita St
Wetumka, OK 74883-5522
Mailing address
325 S Washita St
Wetumka, OK 74883-5522
Phone (405) 452-1313
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 |
|---|---|---|---|
| 26016221A | IN | MD | Clinic Pharmacy |
| 15349 | OK | MD | Clinic Pharmacy |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1336825629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 S WASHITA ST",
"city": "WETUMKA",
"state": "OK",
"postal_code": "748835522",
"telephone_number": "405-452-1313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 S WASHITA ST",
"city": "WETUMKA",
"state": "OK",
"postal_code": "748835522",
"telephone_number": "405-452-1313",
"fax_number": "405-452-3872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSSLER",
"first_name": "WILLIAM",
"credential": "DPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-22",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": "IN",
"license": "26016221A",
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": "OK",
"license": "15349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wetumka, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.