NPIMap

Organization Active NPI

Wilkare Pharmacy of Doniphan

  • Pharmacy
  • Doniphan, MO
National Provider Identifier
1811763378
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
WILKARE PHARMACY OF DONIPHAN
Practice address
513 N Grand Ave
Doniphan, MO 63935-1405
Phone
(573) 996-4127
Fax
(573) 996-5973
NPI assigned
Nov 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Dr. Phillip Wilkins Jr.
Title
Managing Member
Phone
(870) 351-0846

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

513 N Grand Ave
Doniphan, MO 63935-1405

Mailing address

513 N Grand Ave
Doniphan, MO 63935-1405
Phone (870) 351-0846

National Provider Directory

National Provider Directory
Tax ID family
Wilkare Pharmacy of Doniphan4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1811763378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 N GRAND AVE",
            "city": "DONIPHAN",
            "state": "MO",
            "postal_code": "639351405",
            "telephone_number": "870-351-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 N GRAND AVE",
            "city": "DONIPHAN",
            "state": "MO",
            "postal_code": "639351405",
            "telephone_number": "573-996-4127",
            "fax_number": "573-996-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKARE PHARMACY OF DONIPHAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "870-351-0846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doniphan, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.