WILSON PHARMACY
NPI 1104954585
Pharmacy - Community/Retail Pharmacy in Wilson, AR

Active since February 28, 2007
5 N JEFFERSON ST, WILSON, AR 72395(870) 655-8415(870) 655-8676 Get Directions Write a Review

NPPES record last updated: December 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wilson Pharmacy NPPES

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

WILSON PHARMACY (NPI 1104954585) is a healthcare organization registered as a community/retail pharmacy in Wilson, Arkansas and active in the NPI registry since February 2007. The organization lists Heather Wagner, Pharmacist/owner, as its authorized official.

NPPES Registry Identity

NPI1104954585
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWILSON PHARMACY LLC
Location Address5 N JEFFERSON STWilson, AR 72395-1127
Mailing AddressPo Box 128Wilson, AR 72395-0128 · (870) 655-8415 · Fax (870) 655-8676
Fax(870) 655-8676
Organization SubpartNo
Authorized OfficialHeather WagnerPharmacist/owner · (870) 655-8415
Enumeration DateFebruary 28, 2007
Last NPPES UpdateDecember 7, 2016
NPI 1104954585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in AR · AR20387
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
5 N JEFFERSON ST, Wilson, AR 72395

Other Names 1

Doing Business AsWilson Pharmacy

Other Identifiers 2

Medicaid187710407AR
Other2166426Pk

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Pharmacist
5 N JEFFERSON ST
WILSON, AR 72395
Pharmacy (Long Term Care Pharmacy)
5 N JEFFERSON ST
WILSON, AR 72395

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 Wilson Pharmacy LLC's NPI number?

The NPI number for Wilson Pharmacy LLC is 1104954585. It was assigned to this organization in the NPPES registry on February 28, 2007. The provider is doing business as Wilson Pharmacy.

Where is Wilson Pharmacy LLC located?

Wilson Pharmacy LLC is located at 5 N Jefferson St, Wilson, AR 72395. The listed phone number is (870) 655-8415.

What is Wilson Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Wilson Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 52 other insurers list Wilson Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wilson Pharmacy LLC was last updated on December 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.