DR. GAVIN WILSON PHD, PHARMD
NPI 1205729290
Pharmacist in Lakeville, MN

Active since May 30, 2025
4833 162ND ST W, LAKEVILLE, MN 55044(507) 696-1911 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gavin Wilson Phd, Pharmd NPPES

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

DR. GAVIN WILSON PHD, PHARMD (NPI 1205729290) is an individual pharmacist in Lakeville, Minnesota, licensed in Minnesota (121235) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1205729290
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. GAVIN WILSONCredential: PHD, PHARMD
Location Address4833 162ND ST WLakeville, MN 55044-2323
Mailing Address4833 162nd St WLakeville, MN 55044-2323
Sole ProprietorYes
Enumeration DateMay 30, 2025
NPPES CertifiedMay 30, 2025
NPI 1205729290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MN · 121235
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.
4833 162ND ST W, Lakeville, MN 55044

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 Gavin Wilson's NPI number?

The NPI number for Gavin Wilson is 1205729290. It was assigned to this individual provider in the NPPES registry on May 30, 2025.

Where is Gavin Wilson located?

Gavin Wilson practices at 4833 162nd St W, Lakeville, MN 55044. The listed phone number is (507) 696-1911.

What is Gavin Wilson'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 Gavin Wilson was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.