Active NPI
Dashawn Howell Wilson, PHARM D
- Pharmacist
- Martin, TN
National Provider Identifier
1376742221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29397
- Practice address
- 319 S Lindell St
Martin, TN 38237-2440 - Phone
- (731) 587-9509
- NPI assigned
- Jul 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 29397 | TN | Primary |
Addresses
Primary practice location
319 S Lindell St
Martin, TN 38237-2440
Mailing address
195 Rambo Rd
Sharon, TN 38255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmaceutical Service Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1376742221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 RAMBO RD",
"city": "SHARON",
"state": "TN",
"postal_code": "38255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 S LINDELL ST",
"city": "MARTIN",
"state": "TN",
"postal_code": "382372440",
"telephone_number": "731-587-9509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "DASHAWN",
"middle_name": "HOWELL",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-12",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "29397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.