Active NPI
Britne Lynn Wakem, PHARMD
- Pharmacist
- Shelton, WA
National Provider Identifier
1629694690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60574901
- Practice address
- 110 W K St
Shelton, WA 98584-2944 - Phone
- (360) 545-4333
- NPI assigned
- Jun 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | PH60574901 | WA | Primary |
Addresses
Primary practice location
110 W K St
Shelton, WA 98584-2944
Mailing address
4709 Blackberry CT SE
Lacey, WA 98503-5984
Phone (360) 250-3633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 457486 | Other | WA | NABP |
Other names 1
- Britne Lynn Wakem
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60574901 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592956800000",
"number": "1629694690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4709 BLACKBERRY CT SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985035984",
"telephone_number": "360-250-3633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W K ST",
"city": "SHELTON",
"state": "WA",
"postal_code": "985842944",
"telephone_number": "360-545-4333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAKEM",
"first_name": "BRITNE",
"middle_name": "LYNN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-24",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60574901",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "457486",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRITNE",
"last_name": "WAKEM",
"middle_name": "LYNN",
"credential": "KLUPENGER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Shelton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.