Jo Nell Wilkinson & William Jack Wilkinson

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

15496 Issued in TX

Legal business name

JO NELL WILKINSON & WILLIAM JACK WILKINSON

Doing business as

Kermit Pharmacy

Practice address

810 Myer LN
Kermit, TX 79745-4634

Phone

(432) 586-2556

Fax

(432) 586-5934

NPI assigned

Aug 2, 2006

Last updated

Sep 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jo Nell Wilkinson, RPHNPI 1972630481

Title

Owner/Pharmacist

Phone

(325) 396-4630

Specialties & licenses 4

Addresses

Other identifiers 5

Other names 1

• KERMIT PHARMACY Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jo Nell Wilkinson, RPH

  • Pharmacist
  • Kermit, TX
  • NPI 1972630481
  Authorized official Same address or phone

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1275540304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947",
            "city": "MENARD",
            "state": "TX",
            "postal_code": "768590947",
            "telephone_number": "325-396-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 MYER LN",
            "city": "KERMIT",
            "state": "TX",
            "postal_code": "797454634",
            "telephone_number": "432-586-2556",
            "fax_number": "432-586-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JO NELL WILKINSON & WILLIAM JACK WILKINSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "JO NELL",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "325-396-4630",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "15496",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "15496",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25598",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "15496",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0913493-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0140386-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00057606",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAID VENDOR DRUG",
            "identifier": "143959",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000T4272",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KERMIT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• County of Winkler (Winkler County EMS)
• Daniel Lawrence Desilets, DDS
• Arthur Bernard Tiu Fajardo, M.D.
• Jessica Mendez Gonzalez
• John Judson Graves, D.D.S.
• Keri Franklin Jones, RN
• JVHD LLC (Kermit Pharmacy)
• Reana Lopez
• Lorina P Lujan, PA
• Hileen E Mallory, PA

• Durable Medical Equipment & Medical Supplies in Kermit, TX
• Providers in Kermit, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.