Wilson Wil-Sav Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

AR09486 Issued in AR

Legal business name

WILSON WIL-SAV PHARMACY, INC

Practice address

5 Allen Chapel Rd
Batesville, AR 72501-9787

Phone

(870) 251-2432

Fax

(870) 251-3016

NPI assigned

Oct 8, 2009

Organization subpart

No

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

Authorized official

Name

Lee Wilson, PHARM D.NPI 1225626013

Title

Pharmacist in Charge / Owner

Phone

(870) 251-2432

Specialties & licenses 5

Addresses

Other identifiers 3

Other names 1

• Wilson Wil-Sav Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

Tax ID family

Wilson Wil-Sav Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wilson Wil-Sav Pharmacy, Inc

  • Long Term Care Pharmacy
  • Batesville, AR
  • NPI 1346012051
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lee Wilson, PHARM. D

  • Pharmacist
  • Southside, AR
  • NPI 1225626013
  NPD Authorized official
• Mary Grice Duncan, PHARM. D.

  • Pharmacist
  • Southside, AR
  • NPI 1164858437
  NPD (past)

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1275868234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ALLEN CHAPEL RD",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725019787",
            "telephone_number": "870-251-2432",
            "fax_number": "870-251-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ALLEN CHAPEL RD",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725019787",
            "telephone_number": "870-251-2432",
            "fax_number": "870-251-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON WIL-SAV PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE / OWNER",
        "authorized_official_telephone_number": "870-251-2432",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AR",
            "license": "AR09486",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2122262",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179729407",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182449716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilson Wil-Sav Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robin C Williams, M.D.
• Sherry L. Williams, APN
• Valerie Lane Williams
• Victoria Williams
• Rita Willis, PTA
• Wilson Wil-Sav Pharmacy, Inc
• Ashdon Wilson, QBHP
• Grant Wilson
• James William Wilson, M.D.
• Jennifer Laren Wilson, APRN

• Community/Retail Pharmacy in Batesville, AR
• Providers in Batesville, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.