Shelby N Wilson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

19157 Issued in OK

Practice address

815 Frisco Ave
Clinton, OK 73601-3322

Phone

(580) 323-1244

Fax

(580) 323-0455

NPI assigned

Mar 16, 2021

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

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

Locations

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.

• Kac Consulting, LLC

  • Community/Retail Pharmacy
  • Clinton, OK
  • NPI 1700608692
  NPD
• Gwa Inc

  • Community/Retail Pharmacy
  • Clinton, OK
  • NPI 1891851168
  NPD (past)

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1275118754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 FRISCO AVE",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013322",
            "telephone_number": "580-323-1244",
            "fax_number": "580-323-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 FRISCO AVE",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013322",
            "telephone_number": "580-323-1244",
            "fax_number": "580-323-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SHELBY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "19157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Denise Williams, MSW, LCSW
• Kenny Ray Williams
• Stacy Ann Williams
• Tancy Leigh Williams
• Shaina Marie Wills
• Tiereny Witt, RDH
• Ginger Lynn Woodall, ARNP-CNP
• Woodward Foot Clinic PLLC
• Leslie Worst
• Angela Sue Wright, APRN

• Pharmacist in Clinton, OK
• Providers in Clinton, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.