KATISHA L. WILSON PHARMD – NPI #1265038970
Pharmacist

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.

KATISHA WILSON is a pharmacist located in KENNESAW, GA. NPPES has assigned the NPI number 1265038970 to KATISHA WILSON on December 08, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 1835P0018X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KATISHA WILSON below.

NPI Profile for
KATISHA L. WILSON

NPI Number
1265038970
Enumeration Date

(more than 5 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KATISHA L. WILSON
Credentials
PHARMD
Primary location
2782 COBB PKWY NW
KENNESAW, GA 30152-3472
Phone: (770) 420-1092 Fax:
Mailing address
6271 STATION MILL DR
PEACHTREE CORNERS, GA 30092-1891
Phone: (770) 296-9997 Fax:
Sole Proprietor
No
Updated
Certification Date
Dec 08, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
1835P0018X
- Pharmacist / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Primary)
GA RPH032338

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
EMAIL
Content Type
Affiliation
N
Endpoint Location
2782 COBB PKWY NW,
KENNESAW, GA 77025-1669