Active NPI
Amy H Wilson, R PH
- Pharmacist
- Boerne, TX
National Provider Identifier
1124357256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37358
- Practice address
- 1223 S Main St
Boerne, TX 78006-2813 - Phone
- (210) 387-7744
- NPI assigned
- Dec 20, 2009
- 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 | 37358 | TX | Primary |
Addresses
Primary practice location
1223 S Main St
Boerne, TX 78006-2813
Mailing address
1223 S Main St
Boerne, TX 78006-2813
Phone (210) 387-7744
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 |
|---|---|---|---|
| 37358 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olive Branch Counseling and Training, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Professional Counselor
- Boerne, TX
- NPI 1013307966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261267200000",
"number": "1124357256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1223 S MAIN ST",
"city": "BOERNE",
"state": "TX",
"postal_code": "780062813",
"telephone_number": "210-387-7744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 S MAIN ST",
"city": "BOERNE",
"state": "TX",
"postal_code": "780062813",
"telephone_number": "210-387-7744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "AMY",
"middle_name": "H",
"name_prefix": "Ms.",
"credential": "R PH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-20",
"last_updated": "2009-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "37358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.