Individual provider Active NPI

Janeane N Wilson, PHARM.D.

  • Pharmacist
  • Harbor Beach, MI
National Provider Identifier
1558680744
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302037042 Issued in MI
Practice address
114 S Huron Ave
Harbor Beach, MI 48441-1201
Phone
(989) 315-8605
Fax
(989) 479-3242
NPI assigned
May 27, 2010
Last updated
Apr 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302037042 MI Primary

Addresses

Primary practice location

114 S Huron Ave
Harbor Beach, MI 48441-1201

Mailing address

114 S Huron Ave
Harbor Beach, MI 48441-1201
Phone (989) 315-8605

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5302037042MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Drug Inc. Current Accepting new patients
Harbor Drug Inc Current Accepting new patients

Locations

114 S Huron Ave
Harbor Beach, MI 48441
Phone (989) 315-8605

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": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1558680744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S HURON AVE",
            "city": "HARBOR BEACH",
            "state": "MI",
            "postal_code": "484411201",
            "telephone_number": "989-315-8605",
            "fax_number": "989-479-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S HURON AVE",
            "city": "HARBOR BEACH",
            "state": "MI",
            "postal_code": "484411201",
            "telephone_number": "989-315-8605",
            "fax_number": "989-479-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JANEANE",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302037042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harbor Beach, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.