Active NPI
Keisha Wilson, RPH
- Pharmacist
- Selma, AL
National Provider Identifier
1699510636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13445
- Practice address
- 1631 Broad St
Selma, AL 36701-4202 - Phone
- (334) 872-2326
- NPI assigned
- Jul 1, 2024
- Last updated
- Jul 1, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 13445 | AL | Primary |
Addresses
Primary practice location
1631 Broad St
Selma, AL 36701-4202
Mailing address
16615 County Road 21
Marion Junction, AL 36759-4240
Phone (334) 431-2028
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 |
|---|---|---|---|
| 13445 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brown Drug Co Inc | Past | Accepting new patients | |
| Brown Drug Co, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1699510636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16615 COUNTY ROAD 21",
"city": "MARION JUNCTION",
"state": "AL",
"postal_code": "367594240",
"telephone_number": "334-431-2028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 BROAD ST",
"city": "SELMA",
"state": "AL",
"postal_code": "367014202",
"telephone_number": "334-872-2326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "KEISHA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-01",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "13445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Selma, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.