Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Wendell Shane Edmonson, PHARMD

Individual provider Pharmacist · NPI 1861100604

Dr. Wendell Shane Edmonson, PHARMD is a Pharmacist in Oklahoma City, Oklahoma. Practices as a sole proprietor. Licensed in Missouri and Oklahoma.

Licensed in
MO, OK
In the registry since
2022
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

4300 W Memorial Rd
Oklahoma City, OK 73120-8362
Phone: (405) 752-3034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 12513 (OK)
Pharmacist Taxonomy 183500000X · Licence 2001029138 (MO)

Record details

NPI number1861100604
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedNovember 10, 2022
Last updated in NPPESNovember 10, 2022
Certification dateNovember 10, 2022

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