NPIMap

Organization Active NPI

Wilson Pharmacy, Inc.

Doing business as Ballad Health Pharmacy at Bristol

  • Community/Retail Pharmacy
  • Bristol, TN
National Provider Identifier
1881150811
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WILSON PHARMACY, INC.
Doing business as
Ballad Health Pharmacy at Bristol
Practice address
350 Blountville Hwy Ste 102
Bristol, TN 37620-1676
Phone
(423) 844-5490
NPI assigned
Feb 14, 2019
Last updated
Feb 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Authorized official

Name
Carl Steven Kilgore
Title
SVP
Phone
(423) 915-5185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

350 Blountville Hwy Ste 102
Bristol, TN 37620-1676

Mailing address

PO Box 5289
Johnson City, TN 37602-5289

Other names 1

  • Ballad Health Pharmacy at Bristol Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wilson Pharmacy Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1881150811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5289",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376025289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BLOUNTVILLE HWY STE 102",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201676",
            "telephone_number": "423-844-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "SVP",
        "authorized_official_telephone_number": "423-915-5185"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ballad Health Pharmacy at Bristol",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bristol, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.