David Alan Wilson

Primary specialty

PharmacistTaxonomy code 183500000X

License

10409-40 Issued in WI

Practice address

925 E Wall St
Eagle River, WI 54521-8720

Phone

(715) 479-6413

Fax

(715) 479-4621

NPI assigned

Oct 22, 2012

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• T a Solberg Co Inc

  • Community/Retail Pharmacy
  • Eagle River, WI
  • NPI 1245246891
  NPD (past)
• T a Solberg Co Inc

  • Community/Retail Pharmacy
  • Tomahawk, WI
  • NPI 1760949010
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 22, 2012.

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1619220175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1059",
            "city": "EAGLE RIVER",
            "state": "WI",
            "postal_code": "545211059",
            "telephone_number": "715-479-4613",
            "fax_number": "715-479-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 E WALL ST",
            "city": "EAGLE RIVER",
            "state": "WI",
            "postal_code": "545218720",
            "telephone_number": "715-479-6413",
            "fax_number": "715-479-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "10409-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Samantha Weber, DPT
• April Welch, BCBA
• Joshua Michael Welch, PHARMD
• Harry H Whidden, P.A
• Charles Dennis Wolter, D.C.

• All providers in Eagle River, WI
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.