DR. NATHANIEL WILSON


Address: 429 N State of Franklin Rd, Johnson City, TN 37604-6034
Phone: 4239750068

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).

Provider Overview

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

Taxonomy

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

Other Providers NATHANIEL WILSON

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

Office Location

Street Address 429 N STATE OF FRANKLIN RD
City JOHNSON CITY
State TN
Zip Code 37604-6034

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City JOHNSON CITY
Zip Code 37604

Improve Information

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Dataset Information

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.

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