Active NPI
Wasem's Inc.
- Long Term Care Pharmacy
- Clarkston, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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, 2019
- Organization subpart
- Yes
- Parent organization
- WASEM'S
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cynthia Jean Wendt, PHARM D
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003122000 | Medicaid | ID | |
| 6083208 | Medicaid | WA |
Other names 1
- Wasem's Long Term Care
National Provider Directory
National Provider Directory- Tax ID family
- Wasems Inc
- 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.
-
- Pharmacist
- Clarkston, WA
- NPI 1427312750
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.