Wrinkle's Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

002729 Issued in MO

Legal business name

WRINKLE'S PHARMACY, INC.

Practice address

5409 Lake Ave
Saint Joseph, MO 64504-1439

Phone

(816) 238-4522

NPI assigned

Nov 12, 2005

Organization subpart

No

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

Authorized official

Name

Tom Glenski

Title

Secretary

Phone

(816) 238-4522

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa A Glenski, R.PH.

  • Pharmacist
  • Saint Joseph, MO
  • NPI 1053502609
  NPD (past)

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

{
    "created_epoch": "1131753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478304000000",
    "number": "1912988270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 NW COGDILL RD",
            "city": "KING CITY",
            "state": "MO",
            "postal_code": "644639247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 LAKE AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645041439",
            "telephone_number": "816-238-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRINKLE'S PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-12",
        "last_updated": "2016-11-05",
        "status": "A",
        "authorized_official_last_name": "GLENSKI",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "816-238-4522"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MO",
            "license": "002729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP/NACDS",
            "identifier": "2603074",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joellen Marie Wolterman, M.A., CCC-A
• Amber Wheatley Wood, PLPC
• Karen Woodbury, L.C.S.W.
• Abra Ann Woolard, APRN
• Brooklynn Wright, LMSW
• Junping Yang, MD
• Grayson Edward Yates, STUDENT
• Jamielyn Yates, MA, LLPC
• Sami S Yerganian, PMHNP-C
• Zelda Ygsi

• Pharmacy in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2016; 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.