Active NPI
Wilson Pharmacy LLC
- Long Term Care Pharmacy
- Wilson, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- WILSON PHARMACY LLC
- Practice address
- 5 N Jefferson St
Wilson, AR 72395-1127 - Phone
- (870) 655-8415
- Fax
- (870) 655-8676
- NPI assigned
- Jul 9, 2026
- Last updated
- Jul 9, 2026
- Organization subpart
- Yes
- Parent organization
- WILSON PHARMACY LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Wagner
- Title
- Pharmacist/Owner
- Phone
- (870) 561-1500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
5 N Jefferson St
Wilson, AR 72395-1127
Mailing address
PO Box 128
Wilson, AR 72395-0128
Phone (870) 655-8415
Other names 1
- Wilson Pharmacy LTC
National Provider Directory
National Provider Directory- Tax ID family
- Wilson Pharmacy LLC
- Part of
- Wilson Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Manila, AR
- NPI 1528945987
-
- Pharmacist
- Wilson, AR
- NPI 1124184700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783555200000",
"number": "1487572020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 128",
"city": "WILSON",
"state": "AR",
"postal_code": "723950128",
"telephone_number": "870-655-8415",
"fax_number": "870-655-8676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 N JEFFERSON ST",
"city": "WILSON",
"state": "AR",
"postal_code": "723951127",
"telephone_number": "870-655-8415",
"fax_number": "870-655-8676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILSON PHARMACY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WILSON PHARMACY LLC",
"enumeration_date": "2026-07-09",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A",
"authorized_official_last_name": "WAGNER",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "PHARMACIST/OWNER",
"authorized_official_telephone_number": "870-561-1500"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wilson Pharmacy LTC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Wilson, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.