Seth Wilson, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD15649 Issued in AR

Practice address

171 N Maestri Rd Ste 3
Tontitown, AR 72762-9818

Phone

(479) 361-5727

Fax

(479) 361-5623

NPI assigned

Jun 10, 2021

Sex

Male

Sole proprietor

No

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.

• Jepson Drugs LLC

  • Pharmacy
  • Siloam Springs, AR
  • NPI 1013069970
  NPD Authorized official
• Jepson Drugs LLC

  • Long Term Care Pharmacy
  • Siloam Springs, AR
  • NPI 1932062536
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 10, 2021.

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1245807874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 N MAESTRI RD STE 3",
            "city": "TONTITOWN",
            "state": "AR",
            "postal_code": "727629818",
            "telephone_number": "479-361-5727",
            "fax_number": "479-361-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 N MAESTRI RD STE 3",
            "city": "TONTITOWN",
            "state": "AR",
            "postal_code": "727629818",
            "telephone_number": "479-361-5727",
            "fax_number": "479-361-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SETH",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD15649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Tontitown, AR
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.