Active NPI
Katryna N Wilson, PHARMD
- Pharmacist
- Lawrenceville, GA
National Provider Identifier
1093481368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH033192
- Practice address
- 2365 Buford Dr
Lawrenceville, GA 30043-2609 - Phone
- (770) 339-4749
- NPI assigned
- Aug 18, 2021
- Sex
- Female
- Sole proprietor
- No
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 | RPH033192 | GA | Primary |
Addresses
Primary practice location
2365 Buford Dr
Lawrenceville, GA 30043-2609
Mailing address
1688 Sylvia CT
Lawrenceville, GA 30043-2287
Phone (678) 478-5989
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH033192 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2365 Buford Dr
Lawrenceville, GA 30043
Phone (770) 339-4747
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1093481368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1688 SYLVIA CT",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300432287",
"telephone_number": "678-478-5989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2365 BUFORD DR",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300432609",
"telephone_number": "770-339-4749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "KATRYNA",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-18",
"last_updated": "2021-08-18",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH033192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.