WILSON PHARMACY, INC (NPI# 1871649244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871649244 |
| Entity Type | Organization |
| Organization Name | WILSON PHARMACY, INC |
| Other Organization Name | WILSON PHARMACY |
| Practice Address |
1142 Main St Forest Park GA 30297-1444 |
| Practice Telephone | 4043664211 |
| Practice Fax Number | 4043664218 |
| Mailing Telephone | 4043664211 |
| Mailing Fax Number | 4043664218 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RONALD YANCEY WILSON SR. (PHARMACIST) |
| Authorized Official Telephone | 4043664211 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | PHRE005134 | GA | Suppliers |
| Other Name | Type Code |
|---|---|
| Wilson Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477728491 | Wilson Pharmacy, Inc | Pharmacy | 523 N State of Franklin Rd Ste B, Johnson City, TN 37604-8210 | 2008-04-30 |
| 1720247885 | Wilson Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 523 N State of Franklin Rd, Johnson City, TN 37604-8213 | 2008-06-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Wilson Pharmacy, Inc. | 330 Seventh Avenue, E., Hendersonville, NC 00000 |
| Street Address |
1142 MAIN ST |
| City | FOREST PARK |
| State | GA |
| Zip Code | 30297-1444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548747173 | Ga Peach Medical Transportation, LLC | Ambulance | 5023 Highway 85, Forest Park, GA 30297 | 2018-07-26 |
| 1871940437 | Crystal Harrison | Counselor | 4659 Ruby Ln, Forest Park, GA 30297 | 2016-05-24 |
| 1467807156 | Naundria Jackson | Nurse Practitioner | Apmc, Forest Park, GA 30297 | 2016-04-29 |
| 1891156089 | Gentle Care Medical Trans LLC | Ambulance | 530 Forest Parkway Suite B, Forest Park, GA 30297 | 2016-03-15 |
| 1811318835 | Kim Mckinney | Case Manager/Care Coordinator | 1104 South Parkwood Drive, Forest Park, GA 30297 | 2013-12-17 |
| 1215361910 | Tiffany Nadine Adams | Specialist | 228 Morrow Rd 18h, Forest Park, GA 30297 | 2013-08-29 |
| 1851663124 | Daffodil Pediatrics and Family Medicine | Pediatrics | 4905 Courtney Drive, Forest Park, GA 30297 | 2012-02-02 |
| 1093093759 | Truliant Health Systems | Community/Behavioral Health | 526 Forest Parkway Ste D, Forest Park, GA 30297 | 2011-07-29 |
| 1811134133 | Sharonda Renee Forte | Orthopaedic Surgery | 4940 Governors Park Drive, Forest Park, GA 30297 | 2009-01-08 |
| 1215173737 | Comfort Personal Care Service | Assisted Living Facility | 5530 Old Dixie Highway, D-9, Forest Park, GA 30297 | 2009-01-06 |
| Find all providers in zip 30297 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982769311 | Christians Pharmacy & Health Services Inc | Pharmacy | 4980 Phillips Dr, Forest Park, GA 30297-1472 | 2006-12-26 |
| 1275564239 | K Mart Corp | Pharmacy | 12171 Parkfield Drive, Forest Park, OH 45240 | 2006-07-06 |
| 1033734140 | Vinh Mai | Pharmacy | 1165 Main St, Forest Park, GA 30297-1443 | 2020-06-15 |
| 1255780441 | Crisp & Associates II, LLC | Pharmacy | 4980 Phillips Dr, Forest Park, GA 30297-1472 | 2016-06-08 |
| 1063861730 | Crisp & Associates I, LLC | Pharmacy | 1032 Main St, Forest Park, GA 30297-1442 | 2016-06-03 |
| 1457628109 | C & W Health Services | Pharmacy | 4980 Phillips Dr, Forest Park, GA 30297-1472 | 2011-11-23 |
| 1629345376 | C & W Pharmacy | Pharmacy | 1032 Main St, Forest Park, GA 30297-1442 | 2011-11-23 |
| 1871507335 | Trustee Drugs, Inc. | Pharmacy | 381 Forest Pkwy, Forest Park, GA 30297-2165 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607662 | H & W Pharmacy | Pharmacy | 4091 Redan Rd Ste C, Stone Mountain, GA 30083-4767 | 2020-10-23 |
| 1720603756 | Medical-pharmacy Associates of Georgia, LLC | Pharmacy | 1425 Georgia Ave Ste 1, Macon, GA 31201-6546 | 2020-06-16 |
| 1700419454 | Janus Rx | Pharmacy | 836 E 65th St Ste 42, Savannah, GA 31405-4496 | 2020-02-20 |
| 1295373702 | Downtown Pharmacy LLC | Pharmacy | 236 Forsyth St Sw Ste 202b, Atlanta, GA 30303-3786 | 2019-12-16 |
| 1750928719 | Goodscript, Inc. | Pharmacy | 3115 Roswell Rd Ste 205, Marietta, GA 30062-7611 | 2019-12-09 |
| 1942844741 | Genoa Healthcare, LLC | Pharmacy | 400 Technology Ct Se Ste J, Room P, Smyrna, GA 30082-5237 | 2019-11-05 |
| 1225670995 | Allcare Pharmacy, LLC | Pharmacy | 1004 S Tennille Ave, Donalsonville, GA 39845 | 2019-10-14 |
| 1417598327 | Connect Care Pharmacy, LLC | Pharmacy | 2191 Hwy 247 Connector, Byron, GA 31008-5531 | 2019-10-02 |
| 1467003467 | Selamawit Dejene | Pharmacy | 464 Bishop St Nw Apt 336, Atlanta, GA 30318-5384 | 2019-09-23 |
| 1902454721 | Batts Drug Company Mansfield, LLC | Pharmacy | 4424 Highway 213, Mansfield, GA 30055-3211 | 2019-08-27 |
| Find all providers with the same taxonomy | ||||
| City | FOREST PARK |
| Zip Code | 30297 |
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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.