Active NPI
Wilkare Pharmacy of Doniphan
- Durable Medical Equipment & Medical Supplies
- Doniphan, MO
National Provider Identifier
1548029457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- WILKARE PHARMACY OF DONIPHAN
- Practice address
- 513 N Grand Ave
Doniphan, MO 63935-1405 - Phone
- (573) 996-4127
- Fax
- (573) 996-5973
- NPI assigned
- Mar 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Phillip Wilkins Jr., PHARMD
- Title
- Managing Member
- Phone
- (870) 351-0846
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
513 N Grand Ave
Doniphan, MO 63935-1405
Mailing address
513 N Grand Ave
Doniphan, MO 63935-1405
Phone (573) 996-4127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240904001292 | MO | Part B Supplier - Pharmacy | 5991245003 | Practice locations: Doniphan, MO |
| O20240913002574 | MO | DME Supplier - Pharmacy | 5991245003 | Practice locations: Doniphan, MO |
National Provider Directory
National Provider Directory- Tax ID family
- Wilkare Pharmacy of Doniphan
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Doniphan, MO
- NPI 1114710951
-
- Community/Retail Pharmacy
- Naylor, MO
- NPI 1508780297
-
- Pharmacy
- Doniphan, MO
- NPI 1811763378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710374400000",
"number": "1548029457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 N GRAND AVE",
"city": "DONIPHAN",
"state": "MO",
"postal_code": "639351405",
"telephone_number": "573-996-4127",
"fax_number": "573-996-5973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 N GRAND AVE",
"city": "DONIPHAN",
"state": "MO",
"postal_code": "639351405",
"telephone_number": "573-996-4127",
"fax_number": "573-996-5973"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILKARE PHARMACY OF DONIPHAN",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-14",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A",
"authorized_official_last_name": "WILKINS",
"authorized_official_first_name": "PHILLIP",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "870-351-0846",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doniphan, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.