Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376145482 Individual Practitioner Male Practitioner

Dr. Kenneth Joseph Wilson , PharmD

Pharmacist • Cahokia, IL

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Wilson, PharmD is a registered healthcare professional specializing in Pharmacist in Cahokia, IL. Practice services are available at 1201 CAMP JACKSON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1201 Camp Jackson Rd

Cahokia, IL 622062231

Telephone 6183322904
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1609881861

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Cahokia, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
13 Specialists

Practicing in Cahokia, IL (9983 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-11-16
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License IL 051.303473

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1184245318

Doctor of Pharmacy (Pharm.D.)

NPI 1255936043

Registered Pharmacist

Neir Bhalavat

Pharmacist

NPI 1386242949
NPI 1629350400

Doctor of Pharmacy (Pharm.D.)

Andrew Brand

Pharmacist

NPI 1679855746
NPI 1760763874

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 02, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 02, 2020

Registered at 1201 CAMP JACKSON RD, CAHOKIA, IL 622062231 (Tel: 6183322904)

📍
Updated Business Mailing Address December 02, 2020

Registered at 1009 MAIN ST, PRAIRIE DU ROCHER, IL 622772258 (Tel: 6187729796)

👤
Provider Name / Credentials Updated December 02, 2020

Recorded as KENNETH WILSON, PHARM.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2020

Pharmacist (License #051.303473 in IL)

🟢
Initial NPI Registration & Enumeration November 13, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376145482
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 13, 2020
Last Update: December 02, 2020
Sole Proprietor: No

Mailing Address

1009 Main St

Prairie Du Rocher, IL 622772258

Phone: 6187729796

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.