Wilson Pharmacy LLC

Organization Active NPI Long Term Care Pharmacy · Wilson, AR

NPI 1487572020 · NPPES record last updated Jul 9, 2026

Key facts

NPI
1487572020
Entity type
Organization (NPI type 2)
Primary specialty
Long Term Care Pharmacy 3336L0003X
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
Organization subpart
Yes
Parent organization (as reported)
WILSON PHARMACY LLC

Authorized official

Name
Heather Wagner
Title
Pharmacist/Owner
Phone
(870) 561-1500

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.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Wilson Pharmacy (2 organizations share this tax ID)

Locations

5 N Jefferson St
Wilson, AR 72395
Phone (870) 655-8415

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Yes

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

  • Wilson Pharmacy LTC Other name

Other providers in Wilson, AR

All providers in Wilson, AR · Long Term Care Pharmacy in Arkansas

Sources for this page

Verify at the official NPI Registry.