Winegardner Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WINEGARDNER INC

Doing business as

Eric's Pharmacy
Eric's Pharmacy on Harrison

Practice address

4151 N Harrison St
Shawnee, OK 74804-1414

Phone

(405) 913-6227

Fax

(405) 617-7025

NPI assigned

Aug 23, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Eric Winegardner, RPHNPI 1720004542

Title

Owner/Pharmacist

Phone

(405) 275-9640

Specialties & licenses 2

Addresses

Other names 2

• Eric's Pharmacy Doing business as
• Eric's Pharmacy on Harrison Doing business as

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Winegardner Inc

  dba Eric's Pharmacy

  • Community/Retail Pharmacy
  • Shawnee, OK
  • NPI 1437234721

  9436212552

  Same PAC ID

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

Tax ID family

Winegardner Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Winegardner Inc

  dba Eric's Pharmacy

  • Community/Retail Pharmacy
  • Shawnee, OK
  • NPI 1437234721
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Winegardner, D.PH.

  • Pharmacist
  • Shawnee, OK
  • NPI 1720004542
  NPD Authorized official
• Sean Winegardner, R.PH

  • Pharmacist
  • Shawnee, OK
  • NPI 1477329928
  NPD

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1659104651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 N HARRISON ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041414",
            "telephone_number": "405-913-6227",
            "fax_number": "405-617-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 N HARRISON ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748041414",
            "telephone_number": "405-913-6227",
            "fax_number": "405-617-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINEGARDNER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "WINEGARDNER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "405-275-9640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eric's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eric's Pharmacy on Harrison",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eric's Pharmacy on Harrison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tamalya Lyn Willoughby, LPN
• Amanda Nicole Wilson
• Maellen Wilson
• Rebecca Wilson, PTA
• Winegardner Inc (Eric's Pharmacy)
• Eric Winegardner, D.PH.
• Sean Winegardner, R.PH
• Myra Michael Winkcompleck
• Hannah Loren Winters, MD
• Kristi Winters, REGISTERED NURSE

• Community/Retail Pharmacy in Shawnee, OK
• Providers in Shawnee, 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 Nov 18, 2024; 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.