Active NPI
Aaron Paul Wilson, R.PH.
- Pharmacist
- Las Cruces, NM
National Provider Identifier
1053449546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 00004650
- Practice address
- 2711 N. Telshor Blvd
Las Cruces, NM 88011 - Phone
- (505) 521-7890
- NPI assigned
- Feb 28, 2007
- Last updated
- Jul 8, 2007
- 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 | 00004650 | NM | Primary |
Addresses
Primary practice location
2711 N. Telshor Blvd
Las Cruces, NM 88011
Mailing address
5068 Galina Dr
Las Cruces, NM 88012-0646
Phone (505) 373-2722
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00004650 | NM | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053449546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5068 GALINA DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880120646",
"telephone_number": "505-373-2722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 N. TELSHOR BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "88011",
"telephone_number": "505-521-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "AARON",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "00004650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.