Timothy Wilson, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

2001004984 Issued in MO

Practice address

125 N Jefferson St
Saint James, MO 65559-1917

Phone

(573) 265-5400

Fax

(573) 265-6006

NPI assigned

Jan 16, 2021

Last updated

Jan 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 6 Turtles LLC

  • Community/Retail Pharmacy
  • Saint James, MO
  • NPI 1962116053
  NPD Authorized official
• 6 Turtles LLC

  dba Dr. Tim's Pharmacy

  • Long Term Care Pharmacy
  • Saint James, MO
  • NPI 1982442190
  NPD Authorized official

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

{
    "created_epoch": "1610755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610755200000",
    "number": "1346839032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N JEFFERSON ST",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655591917",
            "telephone_number": "573-265-5400",
            "fax_number": "573-265-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N JEFFERSON ST",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655591917",
            "telephone_number": "573-265-5400",
            "fax_number": "573-265-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TIMOTHY",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-16",
        "last_updated": "2021-01-16",
        "certification_date": "2021-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2001004984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Michael Wells, MS, PLPC
• Bill Whistler
• Susanna Heike White, LPC
• William Eugene White Jr., LPC
• Ronald Dennis Wilkerson, D.M.D.
• Lauren Renee Zanaboni, MSW, LMSW

• Pharmacist in Saint James, MO
• Providers in Saint James, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2021; 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.