John Wiksen, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

2017044638 Issued in MO

Practice address

2004 W Marler LN
Ozark, MO 65721-7661

Phone

(605) 595-1959

NPI assigned

Oct 26, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1649870148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 E ELEVEN POINT LN",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147931",
            "telephone_number": "605-595-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 W MARLER LN",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657217661",
            "telephone_number": "605-595-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIKSEN",
        "first_name": "JOHN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "5667",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "122425",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "23217",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2017044638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devon E Westpheling, MS, LPC
• Kylee Westrip
• Christian Wheeler
• Aime N White, FNP-C
• Andrew Everett White, LCSW
• McKenzie Wilcox
• William R Chism OD PC
• Rick W. Williams, MD
• Willow Health Care Inc (Ozark Riverview Manor)
• Willow Health Care Inc Dba Riverview Place (Riverview Residential Place)

• Pharmacist in Ozark, MO
• Providers in Ozark, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.