Lydia A Wilson, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

29117 Issued in TX

Practice address

124 W Renfro St
Burleson, TX 76028-4260

Phone

(817) 295-6128

NPI assigned

Jan 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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.

• Best Value Pharmacies Inc

  • Community/Retail Pharmacy
  • Burleson, TX
  • NPI 1700873445
  NPD (past)
• Best Value Pharmacies Inc

  • Community/Retail Pharmacy
  • Ft Worth, TX
  • NPI 1720090111
  NPD (past)

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245381748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 VALLEY TERRACE RD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284974",
            "telephone_number": "817-447-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W RENFRO ST",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284260",
            "telephone_number": "817-295-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LYDIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "29117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "29117",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Ernestina Williams, PTA
• Kenyatta Willis, C.O.T.A.
• Neana Nichole Willis, LPC-ASSOCIATE
• Mary Willrich
• Deanna Cyrilla Willson
• Cassidy Jolynn Windham, APRN, FNP-C
• Courtney Withers
• James Mikeal Wohlgemuth, OD
• Janelle M Wonganya
• Levon M Wonganya III

• Pharmacist in Burleson, TX
• Providers in Burleson, TX by specialty
• Pharmacist in Texas

• 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.

Verify at the official NPI Registry.