James Loftin Wilson Jr., RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

10787 Issued in GA

Practice address

1381 Pio Nono Ave
Macon, GA 31204-4633

Phone

(478) 742-1486

NPI assigned

Jan 10, 2012

Last updated

Jan 10, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. James Loftin Wilson Jr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Unionville Discount Pharmacy Inc

  dba Mike's Medical Pharmacy

  • Community/Retail Pharmacy
  • Macon, GA
  • NPI 1326110107
  NPD (past)

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1881964724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 PIO NONO AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312044633",
            "telephone_number": "478-742-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 PIO NONO AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312044633",
            "telephone_number": "478-742-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JAMES",
        "middle_name": "LOFTIN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "10787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "WILSON",
            "middle_name": "LOFTIN",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Annjanette Wilson
• Candice Newton Wilson, PT
• Crystal M Wilson, LPN
• Hannah S Wilson
• Jacquelin D Wilson, LPC
• Jessica A Wilson, LDO
• Joe Wilson, L.P.C.
• Kenneth Lamar Wilson, LPC
• Kristy Jay Wilson
• Lawrence Eugene Wilson Jr., M.D.

• Pharmacist in Macon, GA
• Providers in Macon, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.