Active NPI
John Samuel Wickes, PHARMACIST
- Pharmacist
- Paris, TX
National Provider Identifier
1700475803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22010
- Practice address
- 925 Clarksville St
Paris, TX 75460-6073 - Phone
- (903) 785-3297
- Fax
- (903) 785-6204
- NPI assigned
- Jan 13, 2021
- Sex
- Male
- 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 | 22010 | TX | Primary |
Addresses
Primary practice location
925 Clarksville St
Paris, TX 75460-6073
Mailing address
John Samuel Wickes
925 Clarksville
Paris, TX 75460
Phone (903) 785-3297
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22010 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1700475803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "JOHN SAMUEL WICKES",
"address_2": "925 CLARKSVILLE",
"city": "PARIS",
"state": "TX",
"postal_code": "75460",
"telephone_number": "903-785-3297",
"fax_number": "903-785-6204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 CLARKSVILLE ST",
"city": "PARIS",
"state": "TX",
"postal_code": "754606073",
"telephone_number": "903-785-3297",
"fax_number": "903-785-6204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WICKES",
"first_name": "JOHN",
"middle_name": "SAMUEL",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-13",
"last_updated": "2021-01-13",
"certification_date": "2020-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "22010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paris, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.