Angela Winke, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

017210 Issued in LA

Practice address

2495 Shreveport Hwy # 71
Pharmacy Dept (119)
Pineville, LA 71360-4044

Phone

(318) 473-0010

Fax

(318) 483-5013

NPI assigned

Dec 10, 2009

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alexandri VA Medical Center

  • General Acute Care Hospital
  • Pineville, LA
  • NPI 1326123050
  NPD (past)
• Department of Veterans Affairs Medical Center

  • Long Term Care Hospital
  • Pineville, LA
  • NPI 1063594885
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 30, 2015.

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1811226459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69004",
            "address_2": "PHARMACY DEPT (119)",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713069004",
            "telephone_number": "318-473-0010",
            "fax_number": "318-483-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 SHREVEPORT HWY # 71",
            "address_2": "PHARMACY DEPT (119)",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604044",
            "telephone_number": "318-473-0010",
            "fax_number": "318-483-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINKE",
        "first_name": "ANGELA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-10",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "LA",
            "license": "017210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Louis Willis, PHARMD
• Erin Bordelon Wilson
• John Rivers Wilson, APRN
• Leonard C Wilson, PA
• Marley Elizabeth Wilson, PHARM.D.
• Winn Community Health Center, Inc.
• Winn Community Health Center, Inc.
• Winn Community Health Center, Inc.
• Winn Community Health Center, Inc.
• Winn Community Health Center, Inc.

• All providers in Pineville, LA
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.