Active NPI
Wilson Joseph Palpallatoc
- Pharmacist
- Stockton, CA
National Provider Identifier
1932619871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 76929
- Practice address
- 1050 N Wilson Way
Stockton, CA 95205-4218 - Phone
- (209) 948-0950
- NPI assigned
- Oct 5, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 76929 | CA | Primary |
Addresses
Primary practice location
1050 N Wilson Way
Stockton, CA 95205-4218
Mailing address
2907 Driftwood PL
Stockton, CA 95219-8030
Phone (626) 506-7516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76929 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507161600000",
"number": "1932619871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2907 DRIFTWOOD PL",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952198030",
"telephone_number": "626-506-7516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 N WILSON WAY",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952054218",
"telephone_number": "209-948-0950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALPALLATOC",
"first_name": "WILSON",
"middle_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-05",
"last_updated": "2017-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "76929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.