Active NPI
Wasem's Inc.
Doing business as Wasem's Pharmacy
- Community/Retail Pharmacy
- Clarkston, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- WASEM'S INC.
- Doing business as
- Wasem's Pharmacy
- Practice address
- 800 6TH St
Clarkston, WA 99403-2013 - Phone
- (509) 758-2565
- Fax
- (509) 758-2151
- NPI assigned
- Jun 24, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cynthia Jean Wendt, PHARM D
- Title
- Owner
- Phone
- (509) 758-2565
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | WA | ||
| Customized Equipment (DME) | 332BC3200X | 022000985 | WA | |
| Pharmacy | 333600000X | CF00000917 | WA | |
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
800 6TH St
Clarkston, WA 99403-2013
Mailing address
800 6TH St
Clarkston, WA 99403-2013
Phone (509) 758-2565
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003122000 | Medicaid | ID | |
| 6083208 | Medicaid | WA |
Other names 2
- Wasem's Pharmacy
- Wasem's Home Medical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930088515 | WA | DME Supplier - Pharmacy | 5193842490 | Practice locations: Clarkston, WA |
| O20140818001633 | WA | Part B Supplier - Mass Immunization (Roster Biller Only) | 5193842490 | Practice locations: Clarkston, WA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Wasems Drugs and Home Medical | Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|External Infusion Pumps and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pa… | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Wasems Home Health Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Clarkston, WA
- NPI 1720552656
Locations
800 6th St
Clarkston, WA 99403
Phone (509) 758-2565
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Long Term Care Pharmacy
- Clarkston, WA
- NPI 1720552656
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Clarkston, WA
- NPI 1427312750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638489600000",
"number": "1689670465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 6TH ST",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "994032013",
"telephone_number": "509-758-2565",
"fax_number": "509-758-2151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 6TH ST",
"city": "CLARKSTON",
"state": "WA",
"postal_code": "994032013",
"telephone_number": "509-758-2565",
"fax_number": "509-758-2151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASEM'S INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-24",
"last_updated": "2021-12-03",
"certification_date": "2021-12-03",
"status": "A",
"authorized_official_last_name": "WENDT",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-758-2565",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "WA",
"license": "022000985",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "WA",
"license": "CF00000917",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003122000",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6083208",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wasem's Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Wasem's Home Medical",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Clarkston, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.