Active NPI
Lawrence Wade Wilson, RPH
- Pharmacist
- Nashville, TN
National Provider Identifier
1760598940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- C-5331
- Practice address
- 275 Cumberland BND
Nashville, TN 37228-1805 - Phone
- (615) 743-1609
- Fax
- (615) 743-1670
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | C-5331 | TN | Primary |
Addresses
Primary practice location
275 Cumberland BND
Nashville, TN 37228-1805
Mailing address
504 Hearthstone Cir
Brentwood, TN 37027-4323
Phone (615) 371-8225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q032770 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-5331 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1760598940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 HEARTHSTONE CIR",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274323",
"telephone_number": "615-371-8225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 CUMBERLAND BND",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372281805",
"telephone_number": "615-743-1609",
"fax_number": "615-743-1670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "LAWRENCE",
"middle_name": "WADE",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "C-5331",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q032770",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.