Benjamin David Wilson, PHARMD
Individual provider Active NPI Pharmacist · Bellevue, TN
NPI 1336754258 · NPPES record last updated Sep 9, 2020
Key facts
- NPI
- 1336754258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 195263 (TN)
- Practice address
- 8110 Hghway 100
Bellevue, TN 37221 - Phone
- (615) 673-1251
- NPI assigned
- Sep 9, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 195263 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 195263 | TN | Yes |
Addresses
Primary practice location
8110 Hghway 100
Bellevue, TN 37221
Mailing address
8110 Highway 100
Bellevue, TN 37221-4214
Phone (615) 673-1251
Other providers in Bellevue, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.