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DR. WILSON LEE KREZDORN PHARM.D.
NPI 1144557448
Pharmacist in Tyler, TX

Active since November 06, 2009
2130 W GRANDE BLVD, TYLER, TX 75703(903) 707-2034(903) 707-2036 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Apr 16, 2021, Mar 17, 2018 and 2 more (5 updates tracked since 2015).

About Dr. Wilson Lee Krezdorn Pharm.d. NPPES

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

DR. WILSON LEE KREZDORN PHARM.D. (NPI 1144557448) is an individual pharmacist in Tyler, Texas, licensed in Texas (45300) and active in the NPI registry since November 2009. He maintains a secondary practice location in Tyler.

NPPES Registry Identity

NPI1144557448
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. WILSON LEE KREZDORNCredential: PHARM.D.
Location Address2130 W GRANDE BLVDTyler, TX 75703-0563
Mailing Address18248 Springmill CtFlint, TX 75762-5000 · (903) 952-1698
Phone(903) 707-2034
Fax(903) 707-2036
Sole ProprietorNo
Enumeration DateNovember 6, 2009
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
NPPES CertifiedApril 16, 2021
✔ NPI 1144557448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in TX · 45300
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.
2130 W GRANDE BLVD, Tyler, TX 75703
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Other Names 1

Other Name (5)Sonny Krezdorn Pharmd.

Secondary Practice Location 1

Location 15976 Old Jacksonville HWYTyler, TX 75703 · Phone (903) 405-6215 ext. 20

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.

ROSE CITY PHARMACY LLC
Pharmacy (Long Term Care Pharmacy)
2130 W GRANDE BLVD
TYLER, TX 75703
Smith County (903) 707-2034
ROSE CITY PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
2130 W GRANDE BLVD
TYLER, TX 75703
Smith County (903) 707-2034

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 Krezdorn's NPI number?

The NPI number for Wilson Krezdorn is 1144557448. It was assigned to this individual provider in the NPPES registry on November 6, 2009. The provider is also known as Sonny Krezdorn Pharmd..

Where is Wilson Krezdorn located?

Wilson Krezdorn practices at 2130 W Grande Blvd, Tyler, TX 75703. The listed phone number is (903) 707-2034.

What is Wilson Krezdorn'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 Wilson Krezdorn was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.