Organization Active NPI

Wilkinson Pharmacy, Inc

Doing business as Wilkinson Homecare Equipment

  • Durable Medical Equipment & Medical Supplies
  • Lebanon, MO
National Provider Identifier
1013973759
Registry record updated Aug 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WILKINSON PHARMACY, INC
Doing business as
Wilkinson Homecare Equipment
Practice address
143 West Elm
Lebanon, MO 65536-3517
Phone
(417) 532-4431
Fax
(417) 533-1291
NPI assigned
Apr 21, 2006
Last updated
Aug 21, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
WILKINSON PHARMACY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 21, 2017

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

Authorized official

Name
Mr. Michael W. Burns, RPH.
Title
Owner/Ceo/President
Phone
(785) 448-3600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

143 West Elm
Lebanon, MO 65536-3517

Mailing address

125 S Washington
Suite 300
Nevada, MO 64772-3329
Phone (417) 667-7599

Other identifiers 1

IdentifierTypeStateIssuer
620123000MedicaidMO

Other names 1

  • Wilkinson Homecare Equipment Doing business as

National Provider Directory

National Provider Directory
Part of
Wilkinson Pharmacy Inc

Locations

143 W Elm St
Lebanon, MO 65536
Phone (417) 532-4431

125 S Washington St
Ste 100
Nevada, MO 64772

125 S Washington St
Ste 300
Nevada, MO 64772

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503273600000",
    "number": "1013973759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S WASHINGTON",
            "address_2": "SUITE 300",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723329",
            "telephone_number": "417-667-7599",
            "fax_number": "417-667-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 WEST ELM",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655363517",
            "telephone_number": "417-532-4431",
            "fax_number": "417-533-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKINSON PHARMACY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILKINSON PHARMACY, INC",
        "enumeration_date": "2006-04-21",
        "last_updated": "2017-08-21",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER/CEO/PRESIDENT",
        "authorized_official_telephone_number": "785-448-3600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620123000",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilkinson Homecare Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; 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.