Vincent Jamar Wilcox, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH033998 Issued in GA

Practice address

2091 Lost Mountain Rd
Powder Springs, GA 30127-1122

Phone

(770) 943-4136

NPI assigned

Oct 6, 2022

Last updated

Oct 6, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• Georgia CVS Pharmacy L.L.C

  dba CVS Pharmacy #11017

  • Pharmacy
  • Pooler, GA
  • NPI 1578009130
  NPD (past)

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1891410445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2091 LOST MOUNTAIN RD",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301271122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 LOST MOUNTAIN RD",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301271122",
            "telephone_number": "770-943-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "VINCENT",
        "middle_name": "JAMAR",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH033998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Cobb Internal Medicine PC
• West Cobb Physical Therapy (Venture Physical Therapy West Cobb)
• Vivian White-Wormley
• Syreeta S. Whitfield
• Karl Alan Whitlock, PSY.D.
• Ann Kimball Wiles, LPC
• Julia Ann Willard
• Stephani M Williams, PA-C
• Tatiyana L Williamson
• Corlissa J Wilson, ED.D, LPC, NCC, NCSC

• Pharmacist in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.