Colton Joe Wilson

Primary specialty

PharmacistTaxonomy code 183500000X

License

16205 Issued in NE

Practice address

317 E Douglas St
Oneill, NE 68763-1829

Phone

(402) 336-2660

NPI assigned

Dec 24, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Oneill Family Pharmacy Inc

  dba Boyd County Pharmacy

  • Community/Retail Pharmacy
  • Spencer, NE
  • NPI 1346167079

  Pharmacist

  NPD (past)
• Oneill Family Pharmacy Inc

  dba O'Neill Family Pharmacy

  • Community/Retail Pharmacy
  • O'Neill, NE
  • NPI 1568557585
  NPD (past)

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

{
    "created_epoch": "1608768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608768000000",
    "number": "1619564697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 E KILDARE DR",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687631142",
            "telephone_number": "402-217-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E DOUGLAS ST",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687631829",
            "telephone_number": "402-336-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "COLTON",
        "middle_name": "JOE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-24",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "16205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Wells, PLMHP
• Kelly Wiebelhaus, RDH
• Gary Williamson
• Michael Dean Williamson, MSE, LIMHP, LPC
• Keith Allan Willis, PH.D.
• Matthew G Winkelbauer, MD
• Chelse Wisneski
• Victoria Yates
• Holly C Young, COTA/L
• Barbara Marie Youngblood

• Pharmacist in O'Neill, NE
• Providers in O'Neill, NE by specialty
• Pharmacist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; 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.