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DR. JUSTIN LEE WILSON DPH
NPI 1285230714
Pharmacist in Jacksboro, TN

Active since December 09, 2020
2715 JACKSBORO PIKE, JACKSBORO, TN 37757(423) 563-7455(423) 563-7448 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Justin Lee Wilson Dph NPPES

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

DR. JUSTIN LEE WILSON DPH (NPI 1285230714) is an individual pharmacist in Jacksboro, Tennessee, licensed in Tennessee (37476) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1285230714
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. JUSTIN LEE WILSONCredential: DPH
Location Address2715 JACKSBORO PIKEJacksboro, TN 37757-4851
Mailing Address2715 Jacksboro PikeJacksboro, TN 37757-4851 · (423) 563-7455 · Fax (423) 563-7448
Phone(423) 563-7455
Fax(423) 563-7448
Sole ProprietorNo
Enumeration DateDecember 9, 2020
NPPES CertifiedNovember 16, 2020
✔ NPI 1285230714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in TN · 37476
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.
2715 JACKSBORO PIKE, Jacksboro, TN 37757
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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.

TERRYS PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
2715 JACKSBORO PIKE
JACKSBORO, TN 37757
Campbell County (423) 563-7455
TERRY'S PHARMACY, INC.
Pharmacy (Long Term Care Pharmacy)
2715 JACKSBORO PIKE
JACKSBORO, TN 37757
Campbell County (423) 563-7445

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 Justin Wilson's NPI number?

The NPI number for Justin Wilson is 1285230714. It was assigned to this individual provider in the NPPES registry on December 9, 2020.

Where is Justin Wilson located?

Justin Wilson practices at 2715 Jacksboro Pike, Jacksboro, TN 37757. The listed phone number is (423) 563-7455.

What is Justin 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 Justin Wilson was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.