Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jack Wilson

Individual provider Pharmacist · NPI 1396806519

Mr. Jack Wilson is a Pharmacist in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
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Practice location Address checks out

8823 Avenue L
Brooklyn, NY 11236-4781
Phone: (718) 251-4005
Fax: (718) 251-4006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 014795 (NY)

Record details

NPI number1396806519
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 12, 2006
Last updated in NPPESJuly 8, 2007
Mailing address8823 Avenue L, Brooklyn, NY 11236-4781

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