Organization Active NPI

Wasem's Inc.

  • Long Term Care Pharmacy
  • Clarkston, WA
National Provider Identifier
1720552656
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
WASEM'S INC.
Practice address
800 6TH St
Clarkston, WA 99403-2093
Phone
(509) 758-2565
Fax
(509) 758-2151
NPI assigned
Jan 14, 2019
Last updated
Mar 25, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
WASEM'SAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Authorized official

Name
Mrs. Cynthia Jean Wendt, PHARM DNPI 1427312750
Title
Owner/Pharmacist
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

800 6TH St
Clarkston, WA 99403-2093

Mailing address

800 6TH St
Clarkston, WA 99403-2093
Phone (509) 758-2565

Other practice location 1

613 Elm St
Clarkston, WA 99403-2047
Phone (509) 758-1095 ext. 213

Other identifiers 2

IdentifierTypeStateIssuer
003122000MedicaidID
6083208MedicaidWA

Other names 1

  • Wasem's Long Term Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Wasems Inc2 organizations share this tax ID, including this one
Part of
Wasems Inc

Other organizations with this tax ID 1

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

Locations

800 6th St
Clarkston, WA 99403
Phone (509) 758-2565

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1720552656",
    "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": "994032093",
            "telephone_number": "509-758-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 6TH ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032093",
            "telephone_number": "509-758-2565",
            "fax_number": "509-758-2151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "613 Elm St",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "WA",
            "postal_code": "994032047",
            "country_code": "US",
            "telephone_number": "509-758-1095 x213",
            "fax_number": "509-758-2151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WASEM'S INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WASEM'S",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "WENDT",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "509-758-2565",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Long Term Care",
            "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 Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.