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DR. NATHANIEL WILSON PHARM D. NPI 1053922195


NPI Information

NPI: 1053922195
Provider Name: DR. NATHANIEL WILSON, PHARM D.
Classification: Pharmacist - 1835P0018X
Entity Type: Individual

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
429 N STATE OF FRANKLIN RD
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 975-0068
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DR. Nathaniel Wilson, PHARM D. is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Johnson City, TN. The provider is 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. DR. Nathaniel Wilson, PHARM D. NPI is 1053922195. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

429 N STATE OF FRANKLIN RD
JOHNSON CITY, TN
ZIP 37604-034
Phone: (423) 975-0068
Fax: (423) 975-0061

The enumeration date for this NPI number is 8/12/2020 and was last updated on 8/13/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
21835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist0000042121TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.