Individual provider Active NPI

James Daniel Wyninegar

  • Pharmacist
  • Mt Pleasant, TX
National Provider Identifier
1992079339
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21863 Issued in TX
Practice address
601 S Jefferson Ave
Mt Pleasant, TX 75455-4836
Phone
(903) 572-3448
Fax
(903) 572-4968
NPI assigned
Mar 2, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21863 TX Primary

Addresses

Primary practice location

601 S Jefferson Ave
Mt Pleasant, TX 75455-4836

Mailing address

Box 176
Naples, TX 75568
Phone (903) 573-0114

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

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Pharmacy Inc Past Accepting new patients
CVS Pharmacy Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1992079339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 176",
            "city": "NAPLES",
            "state": "TX",
            "postal_code": "75568",
            "telephone_number": "903-573-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S JEFFERSON AVE",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754554836",
            "telephone_number": "903-572-3448",
            "fax_number": "903-572-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNINEGAR",
        "first_name": "JAMES",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-02",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "21863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.