Active NPI
Bryant James Wilson, PHARM. D.
- Pharmacist
- Weirton, WV
National Provider Identifier
1598039851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0007448
- Practice address
- 651 Colliers Way
Suite 204
Weirton, WV 26062-5053 - Phone
- (304) 723-6331
- NPI assigned
- Mar 5, 2012
- Last updated
- Mar 5, 2012
- 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 | RP0007448 | WV | Primary |
Addresses
Primary practice location
651 Colliers Way
Suite 204
Weirton, WV 26062-5053
Mailing address
1244 Hanlin Way
Weirton, WV 26062-4335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP0007448 | Other | WV | PHARMACY LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP0007448 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330905600000",
"number": "1598039851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1244 HANLIN WAY",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260624335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 COLLIERS WAY",
"address_2": "SUITE 204",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260625053",
"telephone_number": "304-723-6331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "BRYANT",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-05",
"last_updated": "2012-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0007448",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "RP0007448",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weirton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.