Jimmie Lee Whisenhunt

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1177 Issued in TX

Legal business name

JIMMIE LEE WHISENHUNT

Practice address

102 Main St
Hooks, TX 75561-5155

Phone

(903) 547-2782

Fax

(903) 547-3266

NPI assigned

Feb 7, 2007

Organization subpart

No

Name

Jim Whisenhunt

Title

Owner and Ceo

Phone

(903) 547-2782

Locations

• WHISENHUNT'S CITY PHARMACY Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 2, 2015.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1891835757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "HOOKS",
            "state": "TX",
            "postal_code": "755610129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MAIN ST",
            "city": "HOOKS",
            "state": "TX",
            "postal_code": "755615155",
            "telephone_number": "903-547-2782",
            "fax_number": "903-547-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMIE LEE WHISENHUNT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "WHISENHUNT",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER AND CEO",
        "authorized_official_telephone_number": "903-547-2782"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "1177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2090227",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102155",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHISENHUNT'S CITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allyson Kaye Braley, COTA
• Casual Corner Assisted Living
• Lindsey R Foster, LM, CPM (NARM)
• Hooks Independent School District
• Jessica Perryman, SLP-INTERN

• All providers in Hooks, TX
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.