Travis Eugene Wilson, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

001642 Issued in NY

Practice address

506 6TH St
Brooklyn, NY 11215-3609

Phone

(646) 584-8379

NPI assigned

Aug 20, 2026

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

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

{
    "created_epoch": "1787184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1407762289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W 135TH ST APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100318643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153609",
            "telephone_number": "646-584-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TRAVIS",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "NY",
            "license": "001642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Chauncey Wilson
• Sharllene Wilson
• Shaun Marie Tanika Wilson, PAC
• Sherry Wilson
• Theresa Wilson, CCC SLP
• Unique Shamir Wilson
• Verolyn Wilson
• W. A. Wilson Jr.
• Zoe Wilson, RDN CDN
• Ayanna Wiltshire, SPED

• Pharmacy Technician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pharmacy Technician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.