DR. FANTASIA SHEANELL WILBURN PHARMD
NPI 1063815686
Pharmacist in Hattiesburg, MS

Active since September 28, 2014
5093 HARDY ST, HATTIESBURG, MS 39402(601) 579-6698 Get Directions Write a Review

NPPES record last updated: September 28, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Fantasia Sheanell Wilburn Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FANTASIA SHEANELL WILBURN PHARMD (NPI 1063815686) is an individual pharmacist in Hattiesburg, Mississippi, licensed in Mississippi (P13650) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1063815686
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. FANTASIA SHEANELL WILBURNCredential: PHARMD
Location Address5093 HARDY STHattiesburg, MS 39402-1336
Mailing Address5093 Hardy StHattiesburg, MS 39402-1336
Sole ProprietorNo
Enumeration DateSeptember 28, 2014
NPI 1063815686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MS · P13650
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.

5093 HARDY ST, Hattiesburg, MS 39402

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
5093 HARDY ST
HATTIESBURG, MS 39402
Pharmacist
5093 HARDY ST
HATTIESBURG, MS 39402
Pharmacist
5093 HARDY ST
HATTIESBURG, MS 39402
Pharmacist
5093 HARDY ST
HATTIESBURG, MS 39402
Pharmacist
5093 HARDY ST
HATTIESBURG, MS 39402
Pharmacist
5093 HARDY ST
HATTIESBURG, MS 39402
Pharmacist
5093 HARDY ST
HATTIESBURG, MS 39402
Pharmacist
5093 HARDY ST
HATTIESBURG, MS 39402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fantasia Wilburn's NPI number?

The NPI number for Fantasia Wilburn is 1063815686. It was assigned to this individual provider in the NPPES registry on September 28, 2014.

Where is Fantasia Wilburn located?

Fantasia Wilburn practices at 5093 Hardy St, Hattiesburg, MS 39402. The listed phone number is (601) 579-6698.

What is Fantasia Wilburn's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Fantasia Wilburn was last updated on September 28, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.