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Kenneth Wilson, PHARMD

NPI 1598387458ActiveIndividual· Pharmacist· Shiprock, NM

Pharmacist (PHARMD) in Shiprock, New Mexico, licensed in UT, with an NPI issued in May 2020.

Overview

NPI1598387458
StatusActive
Entity typeIndividual
CredentialPHARMD
Sole proprietorNo
NPI issuedMay 14, 2020
Last updated in NPPESMay 14, 2020
Certified by providerMay 14, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X5881924-1707UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Pharmacist providers in Shiprock

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