NPI Code Detail JSON Logo

1215065586 NPI number — BEVERLY KAY WILCOX R.PH.

NPI Number: 1215065586
Health Care Provider/Practitioner: BEVERLY KAY WILCOX R.PH.

Information about “1215065586” NPI (BEVERLY KAY WILCOX R.PH.) exists in 1215065586 in HTML format HTML  |  1215065586 in plain Text format TXT  |  1215065586 in PDF (Portable Document Format) PDF  |  1215065586 in an XML format XML  formats.

NPI Number : 1215065586 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215065586",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILCOX",
    "FirstName": "BEVERLY",
    "MiddleName": "KAY",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "R.PH.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "783 E SYCAMORE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GLOBE",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85501-1724",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "928-425-8160",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "208 CIBECUE CIRCLE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN CARLOS",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85550",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "928-475-7362",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/01/2007",
    "LastUpdateDate": "11/13/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1835P1200X",
        "TaxonomyName": "Pharmacotherapy Pharmacist",
        "LicenseNumber": "3503",
        "LicenseNumberStateCode": "MT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.