Active NPI
Cherise Wilson, PHARM.D.
- Ambulatory Care Pharmacist
- Largo, MD
National Provider Identifier
1285172767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 17887
- Practice address
- 1221 Mercantile LN
Suite 107
Largo, MD 20774-5374 - Phone
- (301) 618-5856
- NPI assigned
- Feb 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 17887 | MD | Primary |
| Ambulatory Care Pharmacist | 1835P2201X | PH10000078 | DC |
Addresses
Primary practice location
1221 Mercantile LN
Suite 107
Largo, MD 20774-5374
Mailing address
1221 Mercantile LN
Largo, MD 20774-5374
Phone (301) 618-5856
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17887 | MD | MD | Dentist |
| PH10000078 | DC | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486339200000",
"number": "1285172767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 MERCANTILE LN",
"city": "LARGO",
"state": "MD",
"postal_code": "207745374",
"telephone_number": "301-618-5856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 MERCANTILE LN",
"address_2": "SUITE 107",
"city": "LARGO",
"state": "MD",
"postal_code": "207745374",
"telephone_number": "301-618-5856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "CHERISE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-06",
"last_updated": "2017-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "MD",
"license": "17887",
"primary": true
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "DC",
"license": "PH10000078",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Largo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.