IndividualActive
Reva Wilson
NPI 1205118981 · Pharmacist · Tyler, TX
Reva Wilson is a Pharmacist provider in Tyler, TX (NPI 1205118981).
Provider details
- NPI number
- 1205118981
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 49157 (TX)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
1620 S Broadway Ave
Tyler, TX 75701-4260
Phone: (903) 533-0667
Street-level locationGet directions
Mailing address
5348 Old Jacksonville Hwy
Tyler, TX 75703-3350
Registry dates
- Enumerated
- 2011-09-19
- Last updated
- 2011-09-19
Frequently asked questions
- What is Reva Wilson's NPI number?
- Reva Wilson's National Provider Identifier (NPI) is 1205118981, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Reva Wilson's specialty?
- Reva Wilson is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Reva Wilson located?
- Reva Wilson's practice location on file with NPPES is 1620 S Broadway Ave, Tyler, TX 75701-4260.
- What is Reva Wilson's phone number?
- The practice phone number listed in the NPPES registry for Reva Wilson is (903) 533-0667.
- Is Reva Wilson's NPI active?
- Yes — Reva Wilson's NPI (1205118981) is active in the NPPES registry as of the last update on 2011-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.