DR. WILSON LEE KREZDORN PHARM.D.
NPI 1144557448
Pharmacist in Tyler, TX

NPI Status: Active since November 06, 2009

Contact Information

2130 W GRANDE BLVD
TYLER, TX
ZIP 75703
Phone: (903) 707-2034
Fax: (903) 707-2036

Get Directions Reviews

  • Individual
  • Male
  • Pharmacist

About WILSON KREZDORN

This page provides the complete NPI Profile along with additional information for Wilson Krezdorn, a provider established in Tyler, Texas with a medical specialization in Pharmacist. The healthcare provider is registered in the NPI registry with number 1144557448 assigned on November 2009. The practitioner's primary taxonomy code is 183500000X with license number 45300 (TX). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1144557448
Provider Name
DR. WILSON LEE KREZDORN PHARM.D.
Other Name
SONNY KREZDORN PHARMD.
Other Name Type
Other Name (5)
Gender
Male
Entity Type
Individual
Location Address
2130 W GRANDE BLVD TYLER, TX 75703
Location Phone
(903) 707-2034
Location Fax
(903) 707-2036
Mailing Address
18248 SPRINGMILL CT FLINT, TX 75762
Mailing Phone
(903) 952-1698
Is Sole Proprietor?
No
Enumeration Date
11-06-2009
Last Update Date
07-21-2022
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A pharmacist like Wilson Krezdorn fills prescription medications, verifying instructions from physicians and offers expertise in the safe use of prescriptions. Pharmacists instruct patients on how to take a prescribed medicine and educate patients about potential side effects. Pharmacists might also conduct health and wellness screenings, provide immunizations, oversee the medications given to patients, and provide advice on healthy lifestyles.

Location Map

Secondary Locations

  • 5976 Old Jacksonville HWY
    Tyler, TX 75703
    (903) 405-6215

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacist

Taxonomy Code
183500000X
Type
Pharmacy Service Providers
License No.
45300
License State
TX
Taxonomy Description
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1144557448
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21841051448
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 1 + 0 + 5 + 1 + 4 + 4 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1144557448 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194317289ROSE CITY PHARMACY LLC
Organization
Pharmacy (Long Term Care Pharmacy)2130 W GRANDE BLVD
TYLER, TX 75703
(903) 707-2034
1780101816ROSE CITY PHARMACY LLC
Organization
Pharmacy (Community/Retail Pharmacy)2130 W GRANDE BLVD
TYLER, TX 75703
(903) 707-2034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144557448, enumerated in the NPI registry as an "individual" on November 06, 2009

The provider is located at 2130 W Grande Blvd Tyler, Tx 75703 and the phone number is (903) 707-2034

The provider's speciality is Pharmacist with taxonomy code 183500000X

This NPI record was last updated on November 06, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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