John Robert Wilson Jr., R.PH.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

34911 Issued in TX

Practice address

1206 W Campus Dr
Temple, TX 76502-7124

Phone

(254) 298-6144

NPI assigned

Feb 3, 2014

Last updated

Feb 3, 2014By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1497178941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 W CAMPUS DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765027124",
            "telephone_number": "254-298-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 W CAMPUS DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765027124",
            "telephone_number": "254-298-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "34911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY LICENSE",
            "identifier": "34911",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hale Edward Wills, M.D.
• Charlie Dee Wilson, M.D.
• Danielle Elizabeth Wilson, CRNA
• Emily Wilson, PT, DPT
• Gibbs Wilson
• Michael Kuykendall Wilson, MD
• Paula Mary Wilson
• Sean Michael Wilson, MPAS
• Shayla R Wilson, LCSW
• Stacy Wilson

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Temple, TX
• Providers in Temple, TX by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.