Wilson Pharmacy, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHRE005134 Issued in GA

Legal business name

WILSON PHARMACY, INC

Doing business as

Wilson Pharmacy

Practice address

1142 Main St
Forest Park, GA 30297-1444

Phone

(404) 366-4211

Fax

(404) 366-4218

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Yancey Wilson Sr., RPH

Title

Pharmacist

Phone

(404) 366-4211

Specialties & licenses 1

Addresses

Other names 1

• Wilson Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871649244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 MAIN ST",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302971444",
            "telephone_number": "404-366-4211",
            "fax_number": "404-366-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 MAIN ST",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302971444",
            "telephone_number": "404-366-4211",
            "fax_number": "404-366-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "YANCEY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "404-366-4211",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE005134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilson Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• India Cristiana Walker
• Gwen Warner
• Syretta Wells, DDS
• Ebone Tamar White
• Anya Wiedenbeck, MSN, APRN, FNP-C
• Marvel Pamela Wilson
• Sung-Yun Woo
• Carlisa Yvette Wright
• Marquita Wright

• Pharmacy in Forest Park, GA
• Providers in Forest Park, GA by specialty
• Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.