Active NPI
Wilkinson Pharmacy Inc
Doing business as Wilkinson Pharmacy #260
- Pharmacy
- El Dorado Springs, MO
National Provider Identifier
1720195845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 5933
- Legal business name
- WILKINSON PHARMACY INC
- Doing business as
- Wilkinson Pharmacy #260
- Practice address
- 200 E Hwy 54
El Dorado Springs, MO 64744 - Phone
- (417) 876-3511
- Fax
- (417) 876-5827
- NPI assigned
- Aug 24, 2006
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 5933 | MO | Primary |
| Community/Retail Pharmacy | 3336C0003X | 5933 | MO |
Addresses
Primary practice location
200 E Hwy 54
El Dorado Springs, MO 64744
Mailing address
125 S Washington
Ste 100
Nevada, MO 64772
Phone (417) 667-7599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 601830409 | Medicaid | MO |
Other names 1
- Wilkinson Pharmacy #260
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1500854400000",
"number": "1720195845",
"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": "200 E HWY 54",
"city": "EL DORADO SPRINGS",
"state": "MO",
"postal_code": "64744",
"telephone_number": "417-876-3511",
"fax_number": "417-876-5827"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILKINSON PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-24",
"last_updated": "2017-07-24",
"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": "5933",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MO",
"license": "5933",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "601830409",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wilkinson Pharmacy #260",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in El Dorado Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.