Organization Active NPI

Wilson Family Pharmacy Inc

  • Community/Retail Pharmacy
  • Owensboro, KY
National Provider Identifier
1366819476
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07713 Issued in KY
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

Updated by the provider on Apr 25, 2019

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

Authorized official

Name
Mrs. Jigna Patel, PHARMD.NPI 1407131345
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20180219002014 KY Part B Supplier - Pharmacy 0749588507 Practice locations: Owensboro, KY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.