Active NPI
Wilson Family Pharmacy Inc
- Community/Retail Pharmacy
- Owensboro, KY
National Provider Identifier
1366819476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P07713
- Legal business name
- WILSON FAMILY PHARMACY INC
- Practice address
- 2845 W Parrish Ave Ste E
Owensboro, KY 42301-3337 - Phone
- (270) 688-0100
- Fax
- (270) 688-0700
- NPI assigned
- Aug 24, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jigna Patel, PHARMD.
- Title
- Agent
- Phone
- (270) 688-0100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | MG0903 | KY | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | MG0903 | KY | |
| Pharmacy | 333600000X | P07713 | KY | |
| Community/Retail Pharmacy | 3336C0003X | P07713 | KY | Primary |
Addresses
Primary practice location
2845 W Parrish Ave Ste E
Owensboro, KY 42301-3337
Mailing address
2845 W Parrish Ave Ste E
Owensboro, KY 42301-3337
Phone (270) 688-0100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180219002014 | KY | Part B Supplier - Pharmacy | 0749588507 | Practice locations: Owensboro, KY |
National Provider Directory
National Provider DirectoryLocations
2845 W Parrish Ave
Ste E
Owensboro, KY 42301
Phone (270) 688-0100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Owensboro, KY
- NPI 1407131345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556150400000",
"number": "1366819476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2845 W PARRISH AVE STE E",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423013337",
"telephone_number": "270-688-0100",
"fax_number": "270-688-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2845 W PARRISH AVE STE E",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423013337",
"telephone_number": "270-688-0100",
"fax_number": "270-688-0700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILSON FAMILY PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-24",
"last_updated": "2019-04-25",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "JIGNA",
"authorized_official_title_or_position": "AGENT",
"authorized_official_telephone_number": "270-688-0100",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PHARMD."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "KY",
"license": "MG0903",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "KY",
"license": "MG0903",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "KY",
"license": "P07713",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KY",
"license": "P07713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.