Kerry Louis Wilson

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

007904 Issued in GA

Legal business name

KERRY LOUIS WILSON

Doing business as

Chatuge Pharmacy

Practice address

579 N Main St
Hiawassee, GA 30546-2219

Phone

(706) 896-4686

Fax

(706) 896-2325

NPI assigned

Dec 1, 2006

Last updated

Jun 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patti Wilson, BBA

Title

Co-Owner

Phone

(706) 896-4686

Specialties & licenses 2

Addresses

Other names 1

• CHATUGE PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1720156524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 N MAIN ST",
            "address_2": "PO BOX 385",
            "city": "HIAWASSEE",
            "state": "GA",
            "postal_code": "305462219",
            "telephone_number": "706-896-4686",
            "fax_number": "706-896-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 N MAIN ST",
            "city": "HIAWASSEE",
            "state": "GA",
            "postal_code": "305462219",
            "telephone_number": "706-896-4686",
            "fax_number": "706-896-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRY LOUIS WILSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "PATTI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "706-896-4686",
        "authorized_official_credential": "BBA"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "007904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHATUGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jay S Cochran MD PC
• Barbara Fay Jockers, FNP-C
• Jonathan Woolfson, MD PC (Woolfson Eye Institute)
• Alexander Jones, PA
• Catherine Kamin, LAPC
• Kimberly Keyes
• Kilee Rayelle Smith, DO, PC
• Kimsey Enterprises, Inc.
• L Keith Sipsy DO PC
• Jeremy David Lane, LPC

• Community/Retail Pharmacy in Hiawassee, GA
• Providers in Hiawassee, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.