Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467776377 Individual Practitioner Male Practitioner

Michael Paul Wilson , PHARMACIST

Pharmacist • Wake Village, TX

Professional Overview & Biography Verified Profile Summary

Michael Wilson, PHARMACIST is a registered healthcare professional specializing in Pharmacist in Wake Village, TX. Practice services are available at 4520 W 7TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4520 W 7th St

Wake Village, TX 755016354

Telephone 9038387539
Fax 9038329055

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Wake Village, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.5 Yrs
Regional Practice Density
9 Specialists

Practicing in Wake Village, TX (18958 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License TX 37177

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License LA 16146

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State Of Texas Board Of Pharmacy
37177 (TX)

Practice Associates & Co-Workers

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

2 Associated Practitioners
David Tetreau

Pharmacist

NPI 1164977526
NPI 1285958173

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 March 22, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2010

Registered at 4520 W 7TH ST, WAKE VILLAGE, TX 755016354 (Tel: 9038387539)

📍
Updated Business Mailing Address March 22, 2010

Registered at 4520 W 7TH ST, WAKE VILLAGE, TX 755016354 (Tel: 9038387539)

👤
Provider Name / Credentials Updated March 22, 2010

Recorded as MICHAEL WILSON, PHARMACIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2010

Pharmacist (License #37177 in TX)

🟢
Initial NPI Registration & Enumeration March 22, 2010

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: 1467776377
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2010
Last Update: March 22, 2010
Sole Proprietor: No

Mailing Address

4520 W 7th St

Wake Village, TX 755016354

Phone: 9038387539

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.