Individual provider Active NPI

John Wuensche

  • Pharmacist
  • Rockport, TX
National Provider Identifier
1760061030
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
55116 Issued in TX
Practice address
2401 Highway 35 N
Rockport, TX 78382-5704
Phone
(361) 729-9841
NPI assigned
Apr 5, 2021
Last updated
Apr 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 55116 TX Primary

Addresses

Primary practice location

2401 Highway 35 N
Rockport, TX 78382-5704

Mailing address

426 Nelda St
Kingsville, TX 78363-7417
Phone (361) 522-1189

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Connexus

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

State licenses

LicenseStateTypeSpecialty
55116TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1760061030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 NELDA ST",
            "city": "KINGSVILLE",
            "state": "TX",
            "postal_code": "783637417",
            "telephone_number": "361-522-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 HIGHWAY 35 N",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783825704",
            "telephone_number": "361-729-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUENSCHE",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "55116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Connexus",
            "affiliation": "N",
            "address_1": "2401 Highway 35 N",
            "city": "Rockport",
            "state": "TX",
            "country_code": "US",
            "postal_code": "783825704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockport, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.