Organization Active NPI

Wilson Medical Consulting

  • Community/Retail Pharmacy
  • Chehalis, WA
National Provider Identifier
1285822809
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PA10000075 Issued in WA
Legal business name
WILSON MEDICAL CONSULTING
Practice address
108 Polaris PL
Chehalis, WA 98532-9023
Phone
(360) 748-9320
Fax
(360) 748-9396
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Terry L Wilson PA-C, PA
Title
Provider/Owner
Phone
(360) 748-9320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PA10000075 WA Primary

Addresses

Primary practice location

108 Polaris PL
Chehalis, WA 98532-9023

Mailing address

108 Polaris PL
Chehalis, WA 98532-9023
Phone (360) 748-9320

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1285822809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 POLARIS PL",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985329023",
            "telephone_number": "360-748-9320",
            "fax_number": "360-748-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 POLARIS PL",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985329023",
            "telephone_number": "360-748-9320",
            "fax_number": "360-748-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON MEDICAL CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "WILSON PA-C",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "360-748-9320",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PA10000075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chehalis, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.