Active NPI
Wilkinson Pharmacy, Inc
Doing business as Wilkinson Homecare Equipment
- Durable Medical Equipment & Medical Supplies
- Lebanon, MO
National Provider Identifier
1013973759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2017
- Organization subpart
- Yes
- Parent organization
- WILKINSON PHARMACY, INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620123000 | Medicaid | MO |
Other names 1
- Wilkinson Homecare Equipment
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.