Wesley Dunn, R.PH.
Individual provider Active NPI Pharmacist · Savannah, MO
NPI 1790789691 · NPPES record last updated Jun 17, 2008
Key facts
- NPI
- 1790789691
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 043807 (MO)
- Practice address
- 102 S 5TH St
Savannah, MO 64485-1644 - Phone
- (816) 324-5955
- Fax
- (816) 324-6429
- NPI assigned
- Jun 8, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-11908 | KS | MD | Pharmacist |
| 043807 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dunn Drugs Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 043807 | MO | Yes |
| Pharmacist | 183500000X | 1-11908 | KS |
Addresses
Primary practice location
102 S 5TH St
Savannah, MO 64485-1644
Mailing address
11909 County Road 1622
Savannah, MO 64485-9704
Phone (816) 324-4099
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 358773000 | Medicaid | MO |
Other providers in Savannah, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.