Jasmine Wilson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PCT.0014947 Issued in CT

Practice address

112 Amity Rd
New Haven, CT 06515-1405

Phone

(203) 389-8863

NPI assigned

Aug 17, 2019

Last updated

Aug 17, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Stop & Shop Supermarket Company LLC

  dba Stop and Shop Pharmacy #648

  • Community/Retail Pharmacy
  • New Haven, CT
  • NPI 1508898479
  NPD (past)
• Stop and Shop Supermarket Co LLC

  dba Stop & Shop Pharmacy 2818

  • Community/Retail Pharmacy
  • Kinnelon, NJ
  • NPI 1932570363
  NPD (past)

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

{
    "created_epoch": "1566000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566000000000",
    "number": "1740836410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 SPENO RDG",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672834",
            "telephone_number": "860-860-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 AMITY RD",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151405",
            "telephone_number": "203-389-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JASMINE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-17",
        "last_updated": "2019-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.0014947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth M Wilson, MD
• Eva Simone Wilson, PHD
• Francis P Wilson, MD
• Frederick H Wilson
• Gabriella Enza Wilson, MD
• Laura Wilson, RD
• Lynn D Wilson, MD
• Madeline S. Wilson, MD
• Sharon Wilson
• Taylor Wilson

• Pharmacist in New Haven, CT
• Providers in New Haven, CT by specialty
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2019; 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.