Individual provider Active NPI

Ladona Wheatley, RPH

  • Pharmacist
  • San Antonio, TX
National Provider Identifier
1891065272
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
34216 Issued in TX
Practice address
11603 W Coker Loop
Ste. 120
San Antonio, TX 78216-2820
Phone
(210) 494-1245
Fax
(210) 494-4089
NPI assigned
Jan 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 34216 TX Primary
Pharmacist 183500000X 12734-40 WI

Addresses

Primary practice location

11603 W Coker Loop
Ste. 120
San Antonio, TX 78216-2820

Mailing address

3710 Twisted Oaks Dr
San Antonio, TX 78217-3423
Phone (210) 347-4656

Other names 1

  • Ladona A Wheatley Other name

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
12734-40WIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1891065272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 TWISTED OAKS DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173423",
            "telephone_number": "210-347-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11603 W COKER LOOP",
            "address_2": "STE. 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162820",
            "telephone_number": "210-494-1245",
            "fax_number": "210-494-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEATLEY",
        "first_name": "LADONA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "34216",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "12734-40",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LADONA",
            "last_name": "WHEATLEY",
            "middle_name": "A",
            "credential": "RPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.