RACHEL OCTAVIA WYLIE (NPI# 1003449851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003449851 |
| Entity Type | Individual |
| Full Name | RACHEL OCTAVIA WYLIE |
| Practice Address |
1226 Mulberry St Mount Vernon IN 47620-1358 |
| Practice Telephone | 6182186502 |
| Mailing Telephone | 6182186502 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 051301509 | IL | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 26028287A | IN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 26028287A | 05 |
| Street Address |
1226 MULBERRY ST |
| City | MOUNT VERNON |
| State | IN |
| Zip Code | 47620-1358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528434024 | Derek M Solomon | Physical Therapist | 526 E 4th St, Mount Vernon, IN 47620 | 2015-08-19 |
| 1225235492 | Michael Constancio Respicio Mahinay Iv | Specialist | 1250 Main St, #1282, Mount Vernon, IN 47620 | 2007-06-29 |
| 1144348145 | Normal Life of Indiana | Intermediate Care Facility, Mentally Retarded | 1410 Clover St, Mt Vernon, IN 47620 | 2007-03-27 |
| 1902842941 | Matthew R Lee | Family Medicine | 1900 West Fourth Street, Suite 4, Mount Vernon, IN 47620 | 2006-06-20 |
| 1467945139 | Shannon Brittany Lee | Registered Nurse | 1900 W 4th St, Mount Vernon, IN 47620 | 2018-06-07 |
| 1235673989 | Rehabfocus LLC | Physical Therapist | 1250 Main St, #1282, Mount Vernon, IN 47620 | 2016-12-15 |
| 1184960007 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1415 Country Club Rd, Mount Vernon, IN 47620 | 2012-12-20 |
| 1629038724 | David J Julian | Family Medicine | 1900 W 4th St, Mt Vernon, IN 47620 | 2006-03-24 |
| 1760891618 | David N. Wells | Dentist | 803 East Fourth Street, Mount Vernon, IN 47620-0673 | 2014-08-05 |
| 1104142918 | David Keith Uebelhack | Dentist | 803 East Fourth St., Mount Vernon, IN 47620-0673 | 2010-04-19 |
| Find all providers in zip 47620 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780296509 | Jordan Lee Erickson | Pharmacist | 2109 E Broadway, Mount Vernon, WA 98274-4628 | 2020-08-21 |
| 1851920342 | Branda Truong | Pharmacist | 306 Texas Highway 37, Mount Vernon, TX 75457-3112 | 2020-04-06 |
| 1689180184 | Samuel Cooke Ingraham IIi | Pharmacist | 618 E High St, Mount Vernon, OH 43050-2747 | 2017-12-19 |
| 1689120412 | Kendall Keith Kilbourne | Pharmacist | 410 Richmond, Mount Vernon, KY 40456-0796 | 2016-08-31 |
| 1336502996 | Timothy Lynn | Pharmacist | 3404 Broadway St, Mount Vernon, IL 62864-2267 | 2016-03-31 |
| 1548676323 | Tina Chang-yip | Pharmacist | 211 E Sandford Blvd, Mount Vernon, NY 10550-4623 | 2014-07-01 |
| 1477835114 | Sara Elizabeth Koebele | Pharmacist | 3001 Broadway St, Mount Vernon, IL 62864-2361 | 2011-09-19 |
| 1881976355 | Shimrote Ishaque | Pharmacist | 424 E. College Wa, Mount Vernon, WA 98273 | 2011-09-12 |
| 1144518143 | Hebat Allah Bakhach | Pharmacist | 242 E College Way, Mount Vernon, WA 98273-5432 | 2011-07-12 |
| 1841580255 | Tanya M Brock | Pharmacist | 1040 Richmond St, Mount Vernon, KY 40456-2307 | 2011-04-19 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 47620 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.