Active NPI
Herdeen Wilks
- Pharmacist
- Palm Beach Gardens, FL
National Provider Identifier
1508725714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 70076
- Practice address
- 4465 Northlake Blvd
Palm Beach Gardens, FL 33410-6255 - Phone
- (561) 622-6803
- NPI assigned
- Jan 21, 2026
- Last updated
- Jan 21, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 70076 | FL | Primary |
Addresses
Primary practice location
4465 Northlake Blvd
Palm Beach Gardens, FL 33410-6255
Mailing address
3402 Wedgewood Plaza Dr
Riviera Beach, FL 33404-1935
Phone (561) 622-6803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70076 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past | Accepting new patients | |
| Holiday CVS LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768953600000",
"number": "1508725714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3402 WEDGEWOOD PLAZA DR",
"city": "RIVIERA BEACH",
"state": "FL",
"postal_code": "334041935",
"telephone_number": "561-622-6803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4465 NORTHLAKE BLVD",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334106255",
"telephone_number": "561-622-6803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKS",
"first_name": "HERDEEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-01-21",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "70076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.