Brandie Lynn Wilkerson, PHARM. D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

2015024599 Issued in MO

Practice address

300 N Morley St
Moberly, MO 65270-2334

Phone

(660) 263-0909

Fax

(660) 263-2124

NPI assigned

Jul 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Brandie Lynn Roberts Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1558970475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19306 MONROE ROAD 971",
            "city": "HOLLIDAY",
            "state": "MO",
            "postal_code": "652582168",
            "telephone_number": "660-833-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N MORLEY ST",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652702334",
            "telephone_number": "660-263-0909",
            "fax_number": "660-263-2124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 E Highway 24",
            "address_purpose": "LOCATION",
            "city": "Moberly",
            "state": "MO",
            "postal_code": "652703622",
            "country_code": "US",
            "telephone_number": "660-263-6710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "BRANDIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2015024599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI BOARD OF PHARMACY",
            "identifier": "20150248599",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bwilkerson@samshealthmart.com",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "SAMS PRESCRIPTION SHOP INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "300 N Morley St",
            "city": "Moberly",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652702334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRANDIE",
            "last_name": "ROBERTS",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "PHARM. D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebekah Sue Weidenaar, PLPC
• Diana Wemhoff, APRN, BC
• Misty Joyce Werkmeister, PLPC
• Taylor M Wesley, PHYSICIAN ASSISTANT
• Haley Wiggans, FNP-BC
• Shannon Elaine Wilkinson, MS CF-SLP
• Heather D Willet, MED, PLPC
• Katy Farber Williams, M.D.
• Ciara Wilson, RDH
• Gregory Wilson, CRNA

• Pharmacist in Moberly, MO
• Providers in Moberly, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.