Richard Lee Wilgus

Primary specialty

PharmacistTaxonomy code 183500000X

License

P7707 Issued in ID

Practice address

131 W Cameron Ave
Kellogg, ID 83837-2359

Phone

(208) 784-6221

Fax

(208) 786-1602

NPI assigned

Aug 31, 2020

Last updated

Aug 31, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• Kellogg Drugs LLC

  dba Sunnyside Drug

  • Long Term Care Pharmacy
  • Kellog, ID
  • NPI 1629667787
  NPD
• Kellogg Drugs LLC

  • Community/Retail Pharmacy
  • Kellogg, ID
  • NPI 1760576193
  NPD (past)

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1932713765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W CAMERON AVE",
            "city": "KELLOGG",
            "state": "ID",
            "postal_code": "838372359",
            "telephone_number": "208-784-6221",
            "fax_number": "208-786-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W CAMERON AVE",
            "city": "KELLOGG",
            "state": "ID",
            "postal_code": "838372359",
            "telephone_number": "208-784-6221",
            "fax_number": "208-786-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILGUS",
        "first_name": "RICHARD",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P7707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Up the Draw LLC (Up The Draw Therapy)
• Farah Esther Vega, MD
• Adrianne Inez Vest, PTA
• Casey Malia Vincent, LCSW
• Garret N Wendt, PHARMD
• Rusty M Wood, MPT
• Valerie Wood, OTR/L
• Tony Wright
• Linda Josefine Yawn, FNP-C
• Yokes Food Inc (Yokes Pharmacy 5)

• Pharmacist in Kellogg, ID
• Providers in Kellogg, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.