Active NPI
Wen Wilson
- Pharmacist
- Sarasota, FL
National Provider Identifier
1992075402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS43388
- Practice address
- 343 Interstate Blvd
Sarasota, FL 34240-8597 - Phone
- (941) 312-2777
- Fax
- (941) 359-0255
- NPI assigned
- Jan 1, 2012
- 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 | PS43388 | FL | Primary |
Addresses
Primary practice location
343 Interstate Blvd
Sarasota, FL 34240-8597
Mailing address
343 Interstate Blvd
Sarasota, FL 34240-8597
Phone (941) 312-2777
Other names 1
- Acree Wilson
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 |
|---|---|---|---|
| PS43388 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcite LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Fort Pierce, FL
- NPI 1740732635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520380800000",
"number": "1992075402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 INTERSTATE BLVD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342408597",
"telephone_number": "941-312-2777",
"fax_number": "941-359-0255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 INTERSTATE BLVD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342408597",
"telephone_number": "941-312-2777",
"fax_number": "941-359-0255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "WEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-01",
"last_updated": "2018-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS43388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ACREE",
"last_name": "WILSON",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.