Organization Active NPI

Wilkinson Pharmacy Inc

Doing business as Wilkinson Pharmacy #260

  • Pharmacy
  • El Dorado Springs, MO
National Provider Identifier
1720195845
Registry record updated Jul 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
5933 Issued in MO
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

Updated by the provider on Jul 24, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
601830409MedicaidMO

Other names 1

  • Wilkinson Pharmacy #260 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.