Individual provider Active NPI

Yolanda Edith Wilson, RPH

  • Pharmacist
  • Mount Pleasant, SC
National Provider Identifier
1568734481
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5564 Issued in SC
Practice address
774 S Shelmore Blvd
Mount Pleasant, SC 29464-7625
Phone
(843) 388-1548
Fax
(843) 388-1549
NPI assigned
Feb 8, 2012
Last updated
Feb 8, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5564 SC Primary

Addresses

Primary practice location

774 S Shelmore Blvd
Mount Pleasant, SC 29464-7625

Mailing address

774 S Shelmore Blvd
Mount Pleasant, SC 29464-7625
Phone (843) 388-1548

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
Registered Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1568734481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 S SHELMORE BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647625",
            "telephone_number": "843-388-1548",
            "fax_number": "843-388-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 S SHELMORE BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647625",
            "telephone_number": "843-388-1548",
            "fax_number": "843-388-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "YOLANDA",
        "middle_name": "EDITH",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "5564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.