Active NPI
Gregory Adam Wilson, PHARM D
- Pharmacist
- Blue Springs, MO
National Provider Identifier
1003185539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2005024430
- Practice address
- 1701 NW 7 Hwy
Blue Springs, MO 64015-1758 - Phone
- (816) 220-3620
- NPI assigned
- Dec 29, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 2005024430 | MO | Primary |
Addresses
Primary practice location
1701 NW 7 Hwy
Blue Springs, MO 64015-1758
Mailing address
709 NW Whitney Dr
Grain Valley, MO 64029-9658
Phone (816) 588-8046
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005024430 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430092800000",
"number": "1003185539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 NW WHITNEY DR",
"city": "GRAIN VALLEY",
"state": "MO",
"postal_code": "640299658",
"telephone_number": "816-588-8046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 NW 7 HWY",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640151758",
"telephone_number": "816-220-3620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "GREGORY",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-29",
"last_updated": "2015-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2005024430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.