Active NPI
Wilma Johnson Wilbanks, RPH
- Pharmacist
- Cleveland, MS
National Provider Identifier
1669740676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-06978
- Practice address
- 301 N Davis Ave
Cleveland, MS 38732-2349 - Phone
- (662) 846-5781
- Fax
- (662) 846-7657
- NPI assigned
- Dec 5, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-06978 | MS | Primary |
Addresses
Primary practice location
301 N Davis Ave
Cleveland, MS 38732-2349
Mailing address
537 Robinson Dr
Cleveland, MS 38732-2213
Phone (662) 843-6520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-06978 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1669740676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "537 ROBINSON DR",
"city": "CLEVELAND",
"state": "MS",
"postal_code": "387322213",
"telephone_number": "662-843-6520",
"fax_number": "662-846-7657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N DAVIS AVE",
"city": "CLEVELAND",
"state": "MS",
"postal_code": "387322349",
"telephone_number": "662-846-5781",
"fax_number": "662-846-7657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILBANKS",
"first_name": "WILMA",
"middle_name": "JOHNSON",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-05",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-06978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.