What is Shannan Wideman's NPI number?

Shannan Wideman's National Provider Identifier (NPI) is 1255778452, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shannan Wideman's specialty?

Shannan Wideman is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Shannan Wideman located?

Shannan Wideman's practice location on file with NPPES is 701 Fox Run Trl, Edmond, OK 73034-7360.

What is Shannan Wideman's phone number?

The practice phone number listed in the NPPES registry for Shannan Wideman is (405) 471-1250.

Is Shannan Wideman's NPI active?

Yes — Shannan Wideman's NPI (1255778452) is active in the NPPES registry as of the last update on 2013-05-29.

IndividualActive

Shannan Wideman, PHARM.D.

NPI 1255778452 · Pharmacist · Edmond, OK

Shannan Wideman, PHARM.D. is a Pharmacist provider in Edmond, OK (NPI 1255778452).

Provider details

NPI number: 1255778452
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: PHARM.D.
Sex: Female
Sole proprietor: Yes
License: 34908 (TX)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 13911 (OK)
Pharmacy Service Providers
Pharmacist183500000XLicense 34908 (TX)
Pharmacy Service Providers

Profile Score

Detailed profile(77/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
13 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

701 Fox Run Trl

Edmond, OK 73034-7360

Phone: (405) 471-1250

Street-level locationGet directions

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Mailing address