Active NPI
Wendell Anthony Payne III, PHARMD
- Pharmacist
- Houston, TX
National Provider Identifier
1699026559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 54167
- Practice address
- 1770 TC Jester
Houston, TX 77008 - Phone
- (713) 864-5196
- Fax
- (713) 864-5196
- NPI assigned
- Oct 1, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 54167 | TX | Primary |
| Pharmacy Technician | 183700000X | 46160 | LA |
Addresses
Primary practice location
1770 TC Jester
Houston, TX 77008
Mailing address
2504 Acacia St
New Orleans, LA 70122-4717
Phone (662) 374-1658
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 |
|---|---|---|---|
| 54167 | TX | MD | Clinical Social Worker |
| 46160 | LA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402617600000",
"number": "1699026559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2504 ACACIA ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701224717",
"telephone_number": "662-374-1658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1770 TC JESTER",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77008",
"telephone_number": "713-864-5196",
"fax_number": "713-864-5196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "WENDELL",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-01",
"last_updated": "2014-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "54167",
"primary": true
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "LA",
"license": "46160",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.