Wilma Bankston, RPH
Individual provider Active NPI Pharmacist · Port Lavaca, TX
NPI 1316856321 · NPPES record last updated Sep 4, 2026
Key facts
- NPI
- 1316856321
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 77860 (TX)
- Practice address
- 1302 N Virginia St
Port Lavaca, TX 77979-2509 - Phone
- (361) 552-7451
- NPI assigned
- Sep 4, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 77860 | TX | Yes |
Addresses
Primary practice location
1302 N Virginia St
Port Lavaca, TX 77979-2509
Mailing address
1302 N Virginia St
Port Lavaca, TX 77979-2509
Phone (361) 552-7451
Other providers in Port Lavaca, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.