Wilson Tobin Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

8014 Issued in NE

Legal business name

WILSON TOBIN INC

Practice address

1000 Illinois St
Box 571
Sidney, NE 69162-1646

Phone

(308) 254-4553

Fax

(308) 254-4554

NPI assigned

Oct 10, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Gerald H Berlage, PHARMACIST

Title

Owner Pharmacist

Phone

(308) 254-4553

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wilson Tobin Pharmacy Other name

Locations

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1053309518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ILLINOIS ST",
            "address_2": "BOX 571",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691621646",
            "telephone_number": "308-254-4553",
            "fax_number": "308-254-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ILLINOIS ST",
            "address_2": "BOX 571",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691621646",
            "telephone_number": "308-254-4553",
            "fax_number": "308-254-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON TOBIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "BERLAGE",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "308-254-4553",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "8014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00025207500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilson Tobin Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brian Wiems
• Peyton Wieting
• Nyla Wilhelm
• Drew Alexander Williams
• Robert Williams Jr.
• Alexis Winslow
• Rachel Winters
• Jennifer Megan Kelley Witcher
• Jennifer Witte
• Heather Dawn Wood

• Pharmacist in Sidney, NE
• Providers in Sidney, NE by specialty
• Pharmacist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.