Active NPI
Wendy J Sudduth, PHARMD.
- Pharmacist
- Raymore, MO
National Provider Identifier
1760794986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2002021361
- Practice address
- 609 Bradford CT
Raymore, MO 64083-7107 - Phone
- (816) 318-0347
- NPI assigned
- Jul 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2002021361 | MO | Primary |
Addresses
Primary practice location
609 Bradford CT
Raymore, MO 64083-7107
Mailing address
PO Box 396
Crandon, WI 54520-0396
Phone (715) 478-4300
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 |
|---|---|---|---|
| 2002021361 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618185600000",
"number": "1760794986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 396",
"city": "CRANDON",
"state": "WI",
"postal_code": "545200396",
"telephone_number": "715-478-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 BRADFORD CT",
"city": "RAYMORE",
"state": "MO",
"postal_code": "640837107",
"telephone_number": "816-318-0347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUDDUTH",
"first_name": "WENDY",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "PHARMD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-02",
"last_updated": "2021-04-12",
"certification_date": "2021-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2002021361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raymore, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.