OrganizationActive
Wilson Pharmacy LLC
NPI 1104954585 · Community/Retail Pharmacy · Wilson, AR
Provider details
- NPI number
- 1104954585
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Heather Wagner, Pharmacist/Owner(870) 655-8415
- License
- AR20387 (AR)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5 N Jefferson St
Wilson, AR 72395-1127
Phone: (870) 655-8415
Fax: (870) 655-8676
Street-level locationGet directions
Mailing address
Po Box 128
Wilson, AR 72395-0128
Other names (DBA / former)
- Doing business as
- Wilson Pharmacy
Registry dates
- Enumerated
- 2007-02-28
- Last updated
- 2016-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.