Active NPI
Sue Ellen Wynn, RPH
- Pharmacist
- Whitley City, KY
National Provider Identifier
1992817506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8033
- Practice address
- 1755 North Highway 27
Whitley City, KY 42653-0517 - Phone
- (606) 376-7171
- Fax
- (606) 376-7178
- NPI assigned
- Aug 31, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8033 | KY | Primary |
Addresses
Primary practice location
1755 North Highway 27
Whitley City, KY 42653-0517
Mailing address
PO Box 517
Whitley City, KY 42653-0517
Phone (606) 376-7171
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8033 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992817506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 517",
"city": "WHITLEY CITY",
"state": "KY",
"postal_code": "426530517",
"telephone_number": "606-376-7171",
"fax_number": "606-376-7178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 NORTH HIGHWAY 27",
"city": "WHITLEY CITY",
"state": "KY",
"postal_code": "426530517",
"telephone_number": "606-376-7171",
"fax_number": "606-376-7178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYNN",
"first_name": "SUE",
"middle_name": "ELLEN",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "8033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitley City, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.