Mark Steven Wilson, PHARM D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

29684 Issued in CA

Practice address

1226 Soquel Ave
Santa Cruz, CA 95062-2157

Phone

(831) 423-2315

Fax

(831) 423-2320

NPI assigned

Dec 31, 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

Credentials

Doctor of Pharmacy

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 and National Provider Directory roles.

• Christine Quesenberry Incorporated

  • Community/Retail Pharmacy
  • Santa Cruz, CA
  • NPI 1588765986
  NPD (past)
• Horsnyder Pharmacy Inc.

  • Customized Equipment (DME)
  • Santa Cruz, CA
  • NPI 1831258326
  NPD (past)

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1689261067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 FOSTER CT",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621740",
            "telephone_number": "831-247-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 SOQUEL AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622157",
            "telephone_number": "831-423-2315",
            "fax_number": "831-423-2320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Mission St",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950604738",
            "country_code": "US",
            "telephone_number": "831-423-7175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MARK",
        "middle_name": "STEVEN",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "29684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron N Wilson, LMFT
• Alexandra Grace Wilson, DO
• Ashley Elizabeth Wilson
• Jessica Faye Wilson, AMFT
• Maggie Wilson, MFT INTERN
• Max Wilson, DDS
• Thomas D. Wilson III
• Emma Nicole Wineinger
• Gail Wingert, LVN
• Shelly Wingert

• Pharmacist in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.