Active NPI
Beverly Kay Wilcox, R.PH.
- Pharmacotherapy Pharmacist
- San Carlos, AZ
National Provider Identifier
1215065586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 3503
- Practice address
- 208 Cibecue Circle
San Carlos, AZ 85550 - Phone
- (928) 475-7362
- NPI assigned
- Mar 1, 2007
- Last updated
- Nov 13, 2013
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 3503 | MT | Primary |
Addresses
Primary practice location
208 Cibecue Circle
San Carlos, AZ 85550
Mailing address
783 E Sycamore St
Globe, AZ 85501-1724
Phone (928) 425-8160
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 |
|---|---|---|---|
| 3503 | MT | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384300800000",
"number": "1215065586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "783 E SYCAMORE ST",
"city": "GLOBE",
"state": "AZ",
"postal_code": "855011724",
"telephone_number": "928-425-8160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 CIBECUE CIRCLE",
"city": "SAN CARLOS",
"state": "AZ",
"postal_code": "85550",
"telephone_number": "928-475-7362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCOX",
"first_name": "BEVERLY",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2013-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MT",
"license": "3503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Carlos, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.