Organization Active NPI

Wilkinson Pharmacy Inc

  • Community/Retail Pharmacy
  • Joplin, MO
National Provider Identifier
1639490055
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2010018716 Issued in MO
Legal business name
WILKINSON PHARMACY INC
Doing business as
Wilkinson Pharmacy 9
Practice address
1227 E 32ND St Ste 5
Joplin, MO 64804-2904
Phone
(417) 623-7907
Fax
(417) 782-1020
NPI assigned
Jun 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
James Beisner
Title
President/Coo
Phone
(417) 667-7599

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2010018716 MO Primary

Addresses

Primary practice location

1227 E 32ND St Ste 5
Joplin, MO 64804-2904

Mailing address

125 S Washington St
Suite 100
Nevada, MO 64772-3329
Phone (417) 667-7599

Other identifiers 2

IdentifierTypeStateIssuer
1639490055MedicaidMO
2639106OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Wilkinson Pharmacy 9 Doing business as

National Provider Directory

National Provider Directory

Locations

113 E US Highway 54
Ste 2
Camdenton, MO 65020
Phone (573) 346-3396

113 W 2nd St
Holden, MO 64040
Phone (816) 732-5514

1227 E 32nd St
Ste 5
Joplin, MO 64804
Phone (417) 208-0537

143 W Elm St
Lebanon, MO 65536
Phone (417) 532-4431

125 S Washington St
Ste 200
Nevada, MO 64772
Phone (417) 667-2500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1639490055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S WASHINGTON ST",
            "address_2": "SUITE 100",
            "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": "1227 E 32ND ST STE 5",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042904",
            "telephone_number": "417-623-7907",
            "fax_number": "417-782-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKINSON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "BEISNER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT/COO",
        "authorized_official_telephone_number": "417-667-7599"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2010018716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639490055",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2639106",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilkinson Pharmacy 9",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.