Douglas Alan Wilson

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP450216 Issued in PA

Practice address

397 Baltimore Rd
Shippensburg, PA 17257-9567

Phone

(717) 532-7170

NPI assigned

Apr 20, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rite Aid of Pennsylvania LLC

  • Community/Retail Pharmacy
  • Clearfield, PA
  • NPI 1508431081
  NPD (past)
• Rite Aid of Pennsylvania LLC

  • Community/Retail Pharmacy
  • Carlisle, PA
  • NPI 1851480503
  NPD (past)
• The Giant Company, LLC

  • Community/Retail Pharmacy
  • Shippensburg, PA
  • NPI 1508898529
  NPD (past)
• The Giant Company, LLC

  • Community/Retail Pharmacy
  • Quarryville, PA
  • NPI 1952182305
  NPD (past)

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1083101422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 BALTIMORE RD",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172579567",
            "telephone_number": "717-532-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 BALTIMORE RD",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172579567",
            "telephone_number": "717-532-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DOUGLAS",
        "middle_name": "ALAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-20",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "202214458",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "23841",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP450216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellspan Medical Group
• Wellspan Medical Group
• Susan West, N.P.
• Miranda Williams
• Sarah L Wilmot, PT
• Spencer Wolverton, DPM
• John A Yarwood, PA-C
• Martin James Young, LPC
• Christopher L Zentz, P.T.
• Megan Zimmerman, OTR/L

• All providers in Shippensburg, PA
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.