Wilkinson Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

6374 Issued in MO

Legal business name

WILKINSON PHARMACY INC

Doing business as

Wilkinson Pharmacy #285

Practice address

143 W Elm
Lebanon, MO 65536

Phone

(417) 532-4431

Fax

(417) 533-1291

NPI assigned

Sep 19, 2006

Last updated

Jul 26, 2017By 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

Mr. Michael W Burns, RPH

Title

President/Ceo

Phone

(785) 448-3600

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Wilkinson Pharmacy #285 Doing business as

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501027200000",
    "number": "1720185333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S WASHINGTON",
            "address_2": "STE 100",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "64772",
            "telephone_number": "417-667-7599",
            "fax_number": "417-667-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 W ELM",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "65536",
            "telephone_number": "417-532-4431",
            "fax_number": "417-533-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKINSON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2017-07-26",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "785-448-3600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MO",
            "license": "6374",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "6374",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600123004",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilkinson Pharmacy #285",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wilkinson Pharmacy #285",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Curtis Scott Wilkerson, DDS
• Suzanna Wilkerson, PT
• Wilkinson Pharmacy, Inc (Wilkinson Homecare Equipment)
• Shannon Lee Williams, M.A., P.L.P.C.
• William Frank Williams, MD
• Donna C. Wilson, FNP
• Bailee Rebekah Winterrowd, LMSW

• Pharmacy in Lebanon, MO
• Providers in Lebanon, MO by specialty
• Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; 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.