Active NPI
Barbara Alice Wientjes, R.PH.
- Pharmacist
- San Anselmo, CA
National Provider Identifier
1609077932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 39784
- Practice address
- 121 Tunstead Ave
San Anselmo, CA 94960-2616 - Phone
- (415) 454-1451
- Fax
- (415) 454-2865
- NPI assigned
- May 31, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH 39784 | CA | Primary |
Addresses
Primary practice location
121 Tunstead Ave
San Anselmo, CA 94960-2616
Mailing address
PO Box 536
Woodacre, CA 94973-0536
Phone (415) 454-1451
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH 39784 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omegamarg Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Long Term Care Pharmacy
- San Anselmo, CA
- NPI 1386673556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609077932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 536",
"city": "WOODACRE",
"state": "CA",
"postal_code": "949730536",
"telephone_number": "415-454-1451",
"fax_number": "415-454-2865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 TUNSTEAD AVE",
"city": "SAN ANSELMO",
"state": "CA",
"postal_code": "949602616",
"telephone_number": "415-454-1451",
"fax_number": "415-454-2865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIENTJES",
"first_name": "BARBARA",
"middle_name": "ALICE",
"name_prefix": "Mrs.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 39784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Anselmo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.