MR. JACK WILSON


Address: 8823 Avenue L, Brooklyn, NY 11236-4781
Phone: 7182514005

MR. JACK WILSON (NPI# 1396806519) 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) 1396806519
Entity Type Individual
Full Name MR. JACK WILSON
Practice Address 8823 Avenue L
Brooklyn
NY 11236-4781
Practice Telephone 7182514005
Practice Fax Number 7182514006
Mailing Telephone 7182514005
Mailing Fax Number 7182514006
Enumeration Date 2006-12-12
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 014795 NY Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 00264282 05

Other Providers JACK WILSON

NPI Name Taxonomy Address Enumeration
1114241239 Jack H Wilson Counselor 11730 Highway 9 West, Stigler, OK 74462 2010-03-18
1821122102 Jack A. Wilson Dentist 2200 Interstate 20 W Ste 200, Arlington, TX 76017-1649 2007-03-16
1790756542 Jack Edward Wilson Surgery 3 Walnut St Ste 100, Lemoyne, PA 17043 2006-01-30
1518941517 Jack Cook Wilson Family Medicine 612 E 9th St, Mountain Home, AR 72653-4804 2005-12-02
1356349559 Jack Kenney Wilson Jr. Internal Medicine 637 S Kerr Ave, Wilmington, NC 28403-8423 2005-07-12
1043216807 Jack Anthony Wilson Dental Hygienist 2654 Stacey Way, National City, CA 91950-7760 2005-06-24
1497949929 Jack L Wilson Dentist 1721 S Cleveland Ave, Suite 100, Sioux Falls, SD 57103-5501 2007-08-28
1316002314 Jack Wilson Dentist 12320 N 32nd St, Suite 1, Phoenix, AZ 85032-7154 2006-12-27
1598774465 Jack W. Wilson Dentist 534 Luzerne St, Mount Ida, AR 71957-9449 2006-08-07
1033125299 Jack M Wilson Emergency Medicine 6655 Alvarado Rd, San Diego, CA 92120-5208 2006-07-31

Office Location

Street Address 8823 AVENUE L
City BROOKLYN
State NY
Zip Code 11236-4781

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619575578 Bj's Wholesale Club Inc. Eyewear Supplier (Equipment, not the service) 900 Remsen Ave, Canarsie, NY 11236 2020-10-13
1659996080 Elina Fils Aime Licensed Practical Nurse 8 Parter Gate 15, Brooklyn, NY 11236 2020-06-11
1649806761 Courtney Zhang Technician/Technologist 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 2020-03-20
1114559309 Jonathan Eisen Dc, PC Chiropractor 9207 Flatlands Ave, Brooklyn, NY 11236 2020-02-06
1508497462 New Direction Supportive Services Clinic/Center 1123 East 100th Street, Brooklyn, NY 11236 2020-01-30
1073151544 Belinda Clesidor Registered Nurse 1200 E 5519 St, Brooklyn, NY 11236 2019-12-16
1154898880 Shanice A Mcghie Licensed Practical Nurse 718 East 84th Street, Brooklyn, NY 11236 2018-10-31
1891286241 Casandra Christine Gibbs Licensed Practical Nurse 1380 East 84th Stree, 2 Fl, Brooklyn, NY 11236 2018-05-22
1942707161 Suzette Rebecca Ryan Registered Nurse 1009 E 86th Street, 3rd Floor, Brooklyn, NY 11236 2018-04-13
1275045395 Danica Noel-sylvester Nurse Practitioner 6565 Flatlands Ave Rm C-150, Brooklyn, NY 11236 2017-10-30
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447859491 Iman Nagi Yahia Pharmacist 182 17th St Apt 2, Brooklyn, NY 11215-5374 2020-10-21
1518566827 Vinson Eng Pharmacist 2629 Ocean Ave, Brooklyn, NY 11229-4552 2020-10-19
1114526324 Victoria Wong Pharmacist 2643 E 18th St, Brooklyn, NY 11235-3625 2020-10-19
1487253803 Michelle Liao Pharmacist 1845 Shore Pkwy, Brooklyn, NY 11214-6628 2020-10-19
1417563271 Kareem Abdelhadi Pharmacist 482 E 2nd St, Brooklyn, NY 11218-4504 2020-09-17
1447862495 Pamella Pisahov Pharmacist 1699 E 34th St, Brooklyn, NY 11234-4222 2020-08-20
1013527878 Amanda Ye Pharmacist 1152 67th St Apt 3b, Brooklyn, NY 11219-5949 2020-08-06
1710503891 Sinai Marisol Polanco Diaz Pharmacist 28 Nichols Ave, Brooklyn, NY 11208-1510 2020-06-24
1588284541 Melissa Aristide Pharmacist 1403 E 88th St, Brooklyn, NY 11236-5119 2020-04-20
1255960852 Michelle Isabella Zeltser Pharmacist 2821 Batchelder St, Brooklyn, NY 11235-1897 2020-04-06
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Competitor

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City BROOKLYN
Zip Code 11236

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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