Active NPI
Joni M Wilson
- Pharmacist
- Nacogdoches, TX
National Provider Identifier
1942784665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 39143
- Practice address
- 1215 North St
Nacogdoches, TX 75961-4034 - Phone
- (936) 569-9884
- Fax
- (936) 569-6848
- NPI assigned
- Sep 18, 2018
- Last updated
- Sep 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15890 | LA | |
| Pharmacist | 183500000X | 39143 | TX | Primary |
Addresses
Primary practice location
1215 North St
Nacogdoches, TX 75961-4034
Mailing address
1215 North St
Nacogdoches, TX 75961-4034
Phone (936) 569-9884
Other names 1
- Joni M Flowers
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 |
|---|---|---|---|
| 39143 | TX | MD | Oral and Maxillofacial Surgery (Dentist) |
| 15890 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Texas LP | Past | Accepting new patients | |
| Kroger Texas L P | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1942784665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 NORTH ST",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759614034",
"telephone_number": "936-569-9884",
"fax_number": "936-569-6848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 NORTH ST",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759614034",
"telephone_number": "936-569-9884",
"fax_number": "936-569-6848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JONI",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-18",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "15890",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "39143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JONI",
"last_name": "FLOWERS",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Nacogdoches, TX
- Joseph Donald Williams, PHARM.D.
- Leslie Ann Williams, NP
- Timothy Roger Williamson
- Cheryl Busbice Wilson, L.C.S.W.
- Jerry Clyde Wilson, M.S., L.P.C.
- Melanie Lynn Wilson, RN, CNM
- Winnie-Stowell Hospital District (Stallings Court Nursing and Rehabilitation)
- Winnie-Stowell Hospital District (Willowbrook Nursing Center)
- Reyna Nicole Witherspoon, LCSW
- Gregory Paul Wittpenn, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.