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MR. JACK WILSON
NPI 1396806519
Pharmacist in Brooklyn, NY

Active since December 12, 2006
8823 AVENUE L, BROOKLYN, NY 11236(718) 251-4005(718) 251-4006 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jack Wilson NPPES

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

MR. JACK WILSON (NPI 1396806519) is an individual pharmacist in Brooklyn, New York, licensed in New York (014795) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1396806519
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. JACK WILSON
Location Address8823 AVENUE LBrooklyn, NY 11236-4781
Mailing Address8823 Avenue LBrooklyn, NY 11236-4781 · (718) 251-4005 · Fax (718) 251-4006
Phone(718) 251-4005
Fax(718) 251-4006
Sole ProprietorYes
Enumeration DateDecember 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396806519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in NY · 014795
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.
8823 AVENUE L, Brooklyn, NY 11236
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Other Identifiers 1

Medicaid00264282NY

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 Jack Wilson's NPI number?

The NPI number for Jack Wilson is 1396806519. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Jack Wilson located?

Jack Wilson practices at 8823 Avenue L, Brooklyn, NY 11236. The listed phone number is (718) 251-4005.

What is Jack 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 Jack Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.