MR. JOHN ROBERT WILSON JR. (NPI# 1497178941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497178941 |
| Entity Type | Individual |
| Full Name | MR. JOHN ROBERT WILSON JR. |
| Credential | R.PH. |
| Practice Address |
1206 W Campus Dr Temple TX 76502-7124 |
| Practice Telephone | 2542986144 |
| Mailing Telephone | 2542986144 |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2014-02-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
34911 | TX | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS STATE BOARD OF PHARMACY LICENSE | 34911 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376107979 | John Zaakery Wilson | Peer Specialist | 3350 E Beech Way # A, Wasilla, AK 99654-7417 | 2019-04-29 |
| 1639673924 | John Michael Wilson | Student in an Organized Health Care Education/Training Program | 235 Sable Fls, San Antonio, TX 78258-4870 | 2018-03-21 |
| 1427429133 | John Wilson | Internal Medicine | 5 Ladd Rd, Hanover, NH 03755-3420 | 2015-10-08 |
| 1760878599 | John Wilson IIi | Psychiatry & Neurology | 212 W Route 38 Ste 105, Moorestown, NJ 08057-4100 | 2015-04-08 |
| 1194110718 | John Stewart Wilson Jr. | Radiology | 220 Glen Forest Dr, Greensburg, PA 15601-3718 | 2015-03-31 |
| 1720417496 | John Wilson | Specialist/Technologist, Other | 2550 Spurlock Rd, Nederland, TX 77627 | 2013-11-04 |
| 1982031944 | John Forrest Wilson IIi | Licensed Practical Nurse | 412 Ketcham St, Riverside, OH 45431-2124 | 2013-10-03 |
| 1265782213 | John Matthew Wilson | Speech-Language Pathologist | 3517 Norfolk Ct Se, Olympia, WA 98501-7021 | 2012-09-18 |
| 1396009676 | John A Wilson II | Rehabilitation Practitioner | 6054 Giant Forest Ln, North Las Vegas, NV 89031-1663 | 2012-07-01 |
| 1932494127 | John C Wilson | Dentist | 2675 Central Ave Ste L8, Billings, MT 59102-6686 | 2011-06-15 |
| Street Address |
1206 W CAMPUS DR |
| City | TEMPLE |
| State | TX |
| Zip Code | 76502-7124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740233600 | Scott A. Nicklebur | Emergency Medicine | 1206 W Campus Dr, Temple, TX 76502-7124 | 2006-05-19 |
| 1053788075 | Sandy Diec | Pharmacist | 1206 W Campus Dr, Temple, TX 76502-7124 | 2015-08-25 |
| 1417238676 | Sarah Elizabeth Hulvershorn | Pharmacist | 1206 W Campus Dr, Temple, TX 76502-7124 | 2011-09-01 |
| 1699937581 | Michael Murphy Hawkins | Obstetrics & Gynecology | 1206 W Campus Dr, Ms-a4-126, Temple, TX 76502-7124 | 2008-07-01 |
| 1760572929 | Joyce Juan | Pharmacist | 1206 W Campus Dr, Temple, TX 76502-7124 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
| 1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
| 1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
| 1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
| 1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
| 1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
| Find all providers in zip 76502 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942822895 | Richard Chen Wong | Pharmacist | 2401 S 31st St # Ms -01055, Temple, TX 76508-0001 | 2020-05-14 |
| 1316361041 | Natalie Ann Hudec | Pharmacist | 6014 Wooded Creek Cv, Temple, TX 76502-7957 | 2014-02-17 |
| 1881856581 | Robin Xan Janiga | Pharmacist | 4236 Lowes Dr, Suite 100, Temple, TX 76502-3517 | 2008-06-25 |
| 1871768440 | Kimberly Alfred | Pharmacist | 2501 S 31st St, Pavilion, Temple, TX 76508-0001 | 2008-04-24 |
| 1598374142 | Nathaniel Thomas Baker V | Pharmacist | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2020-07-29 |
| 1386122125 | Haemy Chung | Pharmacist | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2018-08-03 |
| 1053805606 | Ashir Shumunov | Pharmacist | 2002 Scott Blvd, Temple, TX 76504-6900 | 2018-06-18 |
| 1588190888 | Sarah Klembith | Pharmacist | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2017-05-04 |
| 1760851042 | Brendon Hughes Hogan | Pharmacist | 1901 Veterans Memorial Dr, 119t, Temple, TX 76504-7451 | 2015-09-17 |
| 1184055170 | Tonya Martin | Pharmacist | 514 W Adams Ave, Temple, TX 76501-4215 | 2013-12-02 |
| Find all providers in TEMPLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.