Active NPI
Celena Wilson, PHARMD
- Pharmacist
- Lakewood, WA
National Provider Identifier
1992518427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61567798
- Practice address
- 9601 Steilacoom Blvd SW
Lakewood, WA 98498-7212 - Phone
- (253) 761-3392
- NPI assigned
- Jan 29, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH61567798 | WA | Primary |
Addresses
Primary practice location
9601 Steilacoom Blvd SW
Lakewood, WA 98498-7212
Mailing address
1288 Cooper St
Dupont, WA 98327-8778
Phone (253) 302-0872
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH61567798 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | 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.
-
dba Providence Medical Group SouthWest Washington
- Family Medicine Physician
- Olympia, WA
- NPI 1174744304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1992518427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1288 COOPER ST",
"city": "DUPONT",
"state": "WA",
"postal_code": "983278778",
"telephone_number": "253-302-0872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9601 STEILACOOM BLVD SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984987212",
"telephone_number": "253-761-3392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "CELENA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-29",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61567798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.