Nicholas Wilbanks, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

75655 Issued in CA

Practice address

1309 Fulton Ave
Sacramento, CA 95825-3603

Phone

(916) 483-3486

NPI assigned

Oct 24, 2016

Sex

Male

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

Practice roles

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.

• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Winchester, CA
  • NPI 1437874062
  NPD (past)
• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Sacramento, CA
  • NPI 1538176474
  NPD (past)

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1619428729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 FULTON AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253603",
            "telephone_number": "916-483-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 FULTON AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253603",
            "telephone_number": "916-483-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBANKS",
        "first_name": "NICHOLAS",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "75655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA RPH",
            "identifier": "75655",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott M Wigginton, MD
• Emily Alisha Wight
• David Michael Wikrent
• Tanaporn Jasmine Wilaisakditipakorn, M.D.
• Jedediah Wilbanks, DO
• Dorothy L. Wilborn, MD
• Elroy Benton Wilbourn
• Warnessa O Wilcox-Caballero
• Ashley Marie Wilcox
• Ivana Wilcox

• Pharmacist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.