IndividualActive
Jack Wilson
NPI 1396806519 · Pharmacist · Brooklyn, NY
Jack Wilson is a Pharmacist provider in Brooklyn, NY (NPI 1396806519).
Provider details
- NPI number
- 1396806519
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 014795 (NY)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(90/100 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
8823 Avenue L
Brooklyn, NY 11236-4781
Phone: (718) 251-4005
Fax: (718) 251-4006
Street-level locationGet directions
Mailing address
8823 Avenue L
Brooklyn, NY 11236-4781
Registry dates
- Enumerated
- 2006-12-12
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jack Wilson's NPI number?
- Jack Wilson's National Provider Identifier (NPI) is 1396806519, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Wilson's specialty?
- Jack Wilson is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Jack Wilson located?
- Jack Wilson's practice location on file with NPPES is 8823 Avenue L, Brooklyn, NY 11236-4781.
- What is Jack Wilson's phone number?
- The practice phone number listed in the NPPES registry for Jack Wilson is (718) 251-4005.
- Is Jack Wilson's NPI active?
- Yes — Jack Wilson's NPI (1396806519) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.