Wmso LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

IP0002147CS Issued in OR

Legal business name

WMSO LLC

Doing business as

Holladay Drug #1139

Practice address

39 S Holladay Dr
Seaside, OR 97138-6716

Phone

(503) 738-5362

Fax

(503) 717-0325

NPI assigned

Mar 22, 2006

Last updated

Nov 20, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Winfield F Muffett III, RPH

Title

Owner

Phone

(360) 693-5879

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Holladay Drug #1139 Doing business as

Locations

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1831158229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 W EVERGREEN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603035",
            "telephone_number": "360-213-2236",
            "fax_number": "360-213-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 S HOLLADAY DR",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971386716",
            "telephone_number": "503-738-5362",
            "fax_number": "503-717-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WMSO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "MUFFETT",
        "authorized_official_first_name": "WINFIELD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-693-5879",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "4754300001",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OR",
            "license": "IP0002147CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "234858",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3814983",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holladay Drug #1139",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Washington, PA
• Julia Weinberg, PHD LPC
• Jacquelyn L Welborn, PMHNP
• James John Wilkinson, CRNA
• Katie Winters
• Erin Zellmer
• Suzanne Marie Zillman, MS

• Pharmacy in Seaside, OR
• Providers in Seaside, OR by specialty
• Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.