Organization Active NPI

Wilkinson Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • Lamar, MO
National Provider Identifier
1609832336
Registry record updated Aug 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WILKINSON PHARMACY INC
Practice address
605A W. 12TH
Lamar, MO 64759-1703
Phone
(417) 682-5838
Fax
(417) 682-5811
NPI assigned
Apr 21, 2006
Organization subpart
Yes
Parent organization
WILKINSON PHARMACY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 21, 2017

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

Authorized official

Name
Mr. Michael W. Burns, RPH.
Title
Owner/Ceo/President
Phone
(785) 448-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

605A W. 12TH
Lamar, MO 64759-1703

Mailing address

125 S Washington
Ste 300
Nevada, MO 64772-3329
Phone (417) 667-7599

Other identifiers 1

IdentifierTypeStateIssuer
623924206MedicaidMO

Other names 1

  • Wilkinson Homecare Equipment Doing business as

National Provider Directory

National Provider Directory
Part of
Wilkinson Pharmacy Inc

Locations

605A W 12th St
Lamar, MO 64759
Phone (417) 682-5838

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503273600000",
    "number": "1609832336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S WASHINGTON",
            "address_2": "STE 300",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723329",
            "telephone_number": "417-667-7599",
            "fax_number": "417-667-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605A W. 12TH",
            "city": "LAMAR",
            "state": "MO",
            "postal_code": "647591703",
            "telephone_number": "417-682-5838",
            "fax_number": "417-682-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKINSON PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILKINSON PHARMACY INC",
        "enumeration_date": "2006-04-21",
        "last_updated": "2017-08-21",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER/CEO/PRESIDENT",
        "authorized_official_telephone_number": "785-448-3600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "623924206",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilkinson Homecare Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lamar, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.