Terri L Wadley, DPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

10968 Issued in OK

Practice address

2115 S Main St
Grove, OK 74344-5327

Phone

(918) 786-4491

Fax

(918) 796-2043

NPI assigned

Nov 27, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wal-Mart Stores East LP

  dba Walmart Pharmacy 10-0090

  • Community/Retail Pharmacy
  • Grove, OK
  • NPI 1124045232
  NPD (past)
• Wal-Mart Stores East, LP

  dba Walmart Pharmacy 10-2229

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606435200000",
    "number": "1427652783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 S MAIN ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743445327",
            "telephone_number": "918-786-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 S MAIN ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743445327",
            "telephone_number": "918-786-4491",
            "fax_number": "918-796-2043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 E 18th St",
            "address_purpose": "LOCATION",
            "city": "Grove",
            "state": "OK",
            "postal_code": "743442907",
            "country_code": "US",
            "telephone_number": "918-787-3442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADLEY",
        "first_name": "TERRI",
        "middle_name": "L",
        "credential": "DPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-27",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "10968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia D. Tynon, L.D.
• Urgent Care of Grand Lake PLLC
• Raegan Vaughan, DDS
• Sara Margaret Vaughan, PA-C
• Vital Health Alliance Group
• Lindsey Waggoner
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0090)
• Walgreen Co (Walgreens #10643)
• James Walls
• Jenny Scoville Walsh, M.D.

• Pharmacist in Grove, OK
• Providers in Grove, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2020; 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.