Weleetka Drug Incorporated

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

51-6952 Issued in OK

Legal business name

WELEETKA DRUG INCORPORATED

Doing business as

Weleetka Drug

Practice address

309 W 9TH Street
Weleetka, OK 74880-0727

Phone

(405) 786-2247

Fax

(405) 786-2409

NPI assigned

Nov 10, 2014

Organization subpart

No

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

Authorized official

Name

Gallen Sheneman

Title

Pic/DPH

Phone

(405) 786-2337

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• Weleetka Drug Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristin Sheneman, PHARM. D

  • Pharmacist
  • Weleetka, OK
  • NPI 1124574496
  NPD (past)

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1639575269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "WELEETKA",
            "state": "OK",
            "postal_code": "748800727",
            "telephone_number": "405-786-2247",
            "fax_number": "405-786-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W 9TH STREET",
            "city": "WELEETKA",
            "state": "OK",
            "postal_code": "748800727",
            "telephone_number": "405-786-2247",
            "fax_number": "405-786-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELEETKA DRUG INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "SHENEMAN",
        "authorized_official_first_name": "GALLEN",
        "authorized_official_title_or_position": "PIC/DPH",
        "authorized_official_telephone_number": "405-786-2337"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "51-6952",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200564890A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148284",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weleetka Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Weleetka Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Saylors
• Julie Kay Shearon
• Gallen Sheneman, PHARM.D.
• Guy W Sheneman, DR. OF PHARMACY
• Kristin Sheneman, PHARM. D
• Weleetka Graham EMS
• Weleetka Public Schools
• Vester Joe Williams II, PARAMEDIC
• Williamson Care Centers,Inc. (Rainbow Terrace Care Center)
• Robin Kay Woods

• Community/Retail Pharmacy in Weleetka, OK
• Providers in Weleetka, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.