D & D Wilcox

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY45740 Issued in CA

Legal business name

D & D WILCOX

Doing business as

Service Pharmacy

Practice address

222 N 5TH St
Coalinga, CA 93210-1702

Phone

(559) 935-2134

Fax

(559) 935-8948

NPI assigned

Oct 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Douglas K Wilcox, PHARM.D.

Title

Partner

Phone

(559) 935-2134

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Service Pharmacy Doing business as

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457447385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N 5TH ST",
            "city": "COALINGA",
            "state": "CA",
            "postal_code": "932101702",
            "telephone_number": "559-935-2134",
            "fax_number": "559-935-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N 5TH ST",
            "city": "COALINGA",
            "state": "CA",
            "postal_code": "932101702",
            "telephone_number": "559-935-2134",
            "fax_number": "559-935-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D & D WILCOX",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "559-935-2134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY45740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0530635",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA457400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Service Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Conwell, MSW
• William George Coombs, DMD
• Corrections and Rehabilitation-Headquarters (Pleasant Valley State Prison)
• Country Mobile Health
• Lindsay Marie Cunningham, PSY.D., M.A.
• Johnny K Dang, MD
• Trucmy Dang, PHARM. D.
• Jeffrey Jay Davis, PH.D.
• Richard C Davis Jr., DDS
• Frieda Dehnavifar

• Pharmacy in Coalinga, CA
• Providers in Coalinga, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.