DR. NATHANIEL WILSON (NPI# 1053922195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053922195 |
Entity Type | Individual |
Full Name | DR. NATHANIEL WILSON |
Credential | PHARM D. |
Practice Address |
429 N State of Franklin Rd Johnson City TN 37604-6034 |
Practice Telephone | 4239750068 |
Practice Fax Number | 4239750061 |
Mailing Telephone | 4239750068 |
Mailing Fax Number | 4239750061 |
Enumeration Date | 2020-08-12 |
Last Update Date | 2020-08-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | Suppliers | ||
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
0000042121 | TN | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528413952 | Nathaniel Wilson Jr. | Counselor | 1209 N. Highland Avenue, Winston-salem, NC 27101 | 2016-05-04 |
1265530414 | Nathaniel Andrew Wilson IIi | Psychologist | 1401 Peachtree St, Suite 210, Atlanta, GA 30309-3023 | 2006-09-20 |
1467919001 | Nathaniel Robert Wilson | Internal Medicine | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2019-03-01 |
1245693670 | Nathaniel Martin Wilson | Orthopaedic Surgery | Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792-0001 | 2016-04-02 |
1255618005 | Nathaniel Wilson | Pharmacist | 6770 Macon Rd, Memphis, TN 38134-7542 | 2011-11-08 |
Street Address |
429 N STATE OF FRANKLIN RD |
City | JOHNSON CITY |
State | TN |
Zip Code | 37604-6034 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710976659 | David Anderson Eades | Pharmacist | 429 N State of Franklin Rd, Johnson City, TN 37604-6034 | 2005-10-13 |
1992317622 | Jessica Fay Holderness | Pharmacist | 429 N State of Franklin Rd, Johnson City, TN 37604-6034 | 2020-08-24 |
1033695671 | Sean W Bradshaw | Pharmacist | 429 N State of Franklin Rd, Johnson City, TN 37604-6034 | 2018-07-17 |
1679912786 | Lindsy Ann Stone | Pharmacist | 429 N State of Franklin Rd, Johnson City, TN 37604-6034 | 2013-06-21 |
1366725566 | Brett E Price | Pharmacist | 429 N State of Franklin Rd, Johnson City, TN 37604-6034 | 2011-09-23 |
1255614780 | Kimberly Banner Manuel | Pharmacist | 429 N State of Franklin Rd, Johnson City, TN 37604-6034 | 2011-09-21 |
1992002877 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 429 N State of Franklin Rd, Johnson City, TN 37604-6034 | 2011-02-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
Find all providers in zip 37604 |
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 |
---|---|---|---|---|
1902119365 | Ketrin Hill Mount | Pharmacist | 300 Silver Oak Dr, Johnson City, TN 37615-7705 | 2010-07-14 |
1639786486 | Carmen Michelle Meadows | Pharmacist | 809 Lamont St, Johnson City, TN 37604-5453 | 2020-09-25 |
1134608672 | Jacob David Lines | Pharmacist | 615 N State of Franklin Rd, Johnson City, TN 37604-8209 | 2018-08-07 |
1114347424 | Linette A Beers | Pharmacist | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2014-04-25 |
1528339710 | Brent Carlson | Pharmacist | 33-57 Harrison St, Johnson City, NY 13790-2107 | 2012-01-19 |
1992075022 | Rola Mousa Franks | Pharmacist | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 | 2012-01-05 |
1437390317 | Emily Kelley Flores | Pharmacist | 917 W Walnut St, Johnson City, TN 37604-6527 | 2009-03-23 |
1417122623 | Lynne Marie Lee | Pharmacist | 33-57 Harrison St, Department of Pharmacy, Johnson City, NY 13790-2107 | 2008-04-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194322081 | Sarah Murphy | Pharmacist | 800 Ridge Lake Blvd Ste 100, Memphis, TN 38120-9442 | 2020-10-05 |
1669008397 | Amanda Jackson | Pharmacist | 1418a W Main St Ste A, Lebanon, TN 37087-3114 | 2020-03-13 |
1841822640 | Vip Pet Meds Inc | Pharmacist | 14675 Highway 194, Oakland, TN 38060-4133 | 2020-02-10 |
1669019188 | Corey D Grimshaw | Pharmacist | Tucker Pharmacy, 2415 Fairview Blvd, Fairview, TN 37062-3706 | 2019-12-03 |
1043856297 | Jeffrey Brian Barnes | Pharmacist | 100 Northcrest Dr., Pharmacy, Springfield, TN 37172 | 2019-11-22 |
1265929863 | Felicia Sells | Pharmacist | 2629 Decherd Blvd, Winchester, TN 37398-1166 | 2018-04-18 |
1588172449 | Tarmeshia Marable | Pharmacist | 2021 25th Ave N, Nashville, TN 37208-1305 | 2018-01-12 |
1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
1205358074 | Erica Brooke Schlesinger | Pharmacist | 500 Deaderick St, Nashville, TN 37243-0001 | 2017-07-12 |
1851823173 | Scott Denno | Pharmacist | 1406 Derby Trce, Nashville, TN 37211-7344 | 2017-03-28 |
Find all providers with the same taxonomy |
City | JOHNSON CITY |
Zip Code | 37604 |
Please comment or provide details below to improve the information on DR. NATHANIEL WILSON.
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.