Wilson Drug Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

561 Issued in OR

Legal business name

WILSON DRUG INC

Practice address

915 Main Ave
Tillamook, OR 97141-3815

Phone

(503) 842-4181

Fax

(503) 842-1147

NPI assigned

Jul 5, 2007

Organization subpart

No

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

Authorized official

Name

David G Wilson

Title

Owner

Phone

(503) 842-4181

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• tillamook pharmacy Doing business as

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1881892453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 MAIN AVE",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971413815",
            "telephone_number": "503-842-4181",
            "fax_number": "503-842-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MAIN AVE",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971413815",
            "telephone_number": "503-842-4181",
            "fax_number": "503-842-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-842-4181"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "293016",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "tillamook pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Whetter
• Tyler Gregory Whygle, CFY-SLP
• Lauren Wilks, PMHNP
• Greetje Margaretha Williams, RN
• Wilson Drug Inc
• David Wilson, RPH
• Alegra Wolff-Lynne, LMT
• Cassandra Wolfson, LCSW
• Janice Carol Wolk, RD, CDE
• Mary Jo Wood, LPC

• Durable Medical Equipment & Medical Supplies in Tillamook, OR
• Providers in Tillamook, OR by specialty
• Durable Medical Equipment & Medical Supplies in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.