TIMOTHY MARVIN WILSON PHARMD
NPI 1255017828
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Harriman, TN

Q: What is Timothy Wilson's NPI number?

The NPI number for Timothy Wilson is 1255017828. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Q: What is Timothy Wilson's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Wilson was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 27, 2023

1820 ROANE STATE HWY, HARRIMAN, TN 37748(865) 717-9496(865) 717-9928 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Timothy Marvin Wilson Pharmd NPPES

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

TIMOTHY MARVIN WILSON PHARMD (NPI 1255017828) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Harriman, Tennessee, licensed in Tennessee (47108) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1255017828

Entity TypeIndividualMale

Primary Taxonomy1835P0018X

Provider Legal NameTIMOTHY MARVIN WILSONCredential: PHARMD

Location Address1820 ROANE STATE HWYHarriman, TN 37748-8307

Mailing Address1820 Roane State HwyHarriman, TN 37748-8307 · (865) 717-9496 · Fax (865) 717-9928

Phone(865) 717-9496

Fax(865) 717-9928

Sole ProprietorNo

Enumeration DateJune 27, 2023

Last NPPES UpdateNovember 30, 2023

NPPES CertifiedNovember 30, 2023

✔ NPI 1255017828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers

Taxonomy Code1835P0018X

License✔ Licensed in TN · 47108

Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

Also ListedPharmacistTaxonomy 183500000X · License 47108 (TN)

1820 ROANE STATE HWY, Harriman, TN 37748

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Other Providers at the Same Location NPPES 13

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

MRS. TIFFANY DANIELLE LADD

Nurse Practitioner (Family)