WILSON TOBIN INC (NPI# 1053309518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053309518 |
| Entity Type | Organization |
| Organization Name | WILSON TOBIN INC |
| Other Organization Name | WILSON TOBIN PHARMACY |
| Practice Address |
1000 Illinois St Box 571 Sidney NE 69162-1646 |
| Practice Telephone | 3082544553 |
| Practice Fax Number | 3082544554 |
| Mailing Telephone | 3082544553 |
| Mailing Fax Number | 3082544554 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2007-12-04 |
| Authorized Official Name | MR. GERALD H BERLAGE (OWNER PHARMACIST) |
| Authorized Official Telephone | 3082544553 |
| Authorized Official Credential | PHARMACIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 8014 | NE | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 00025207500 | 05 |
| Other Name | Type Code |
|---|---|
| Wilson Tobin Pharmacy | Other Name - Individual/Organization |
| Street Address |
1000 ILLINOIS ST BOX 571 |
| City | SIDNEY |
| State | NE |
| Zip Code | 69162-1646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992192207 | Sheila Howard | Counselor | 1516 1/2 10th Ave, Sidney, NE 69162 | 2015-04-24 |
| 1801027479 | James Allen Grosshans | Nurse Anesthetist, Certified Registered | 645 Osage, Memorial Health Center, Sidney, NE 69162 | 2009-07-30 |
| 1386704252 | Nancy Kay Bradford | Counselor | 1023 10th Avenue, Sidney, NE 69162 | 2006-12-11 |
| 1861585200 | Western Drug Co | Durable Medical Equipment & Medical Supplies | 806 Illinios, Sidney, NE 69162 | 2006-09-30 |
| 1518070507 | David J Peckham | Dentist | 1133 Jackson, Sidney, NE 69162 | 2006-08-16 |
| 1578571527 | Carl John Cornelius Jr. | Family Medicine | 1116 10th Avenue, Sidney, NE 69162 | 2006-08-04 |
| 1336529247 | Sara M Sholar | Family Medicine | 1000 Pole Creek Xing, Sidney, NE 69162 | 2015-06-05 |
| 1992130751 | Kristen E Rose | Counselor | 1000 Pole Creek Crossing, Sidney, NE 69162 | 2013-09-11 |
| 1366504367 | Debra Jean Loveless | Counselor | 1023 10th Avenue, Sidney, NE 69162 | 2006-12-15 |
| 1467488726 | Steven A Rolls | Physician Assistant | 1000 Pole Creek Xing, Sidney, NE 69162 | 2006-06-25 |
| Find all providers in zip 69162 | ||||
| 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 |
|---|---|---|---|---|
| 1033669510 | John Philip Depue | Pharmacist | 172 Farm Brook Rd, Sidney, ME 04330-2506 | 2016-10-10 |
| 1588018410 | Gary Bonnoront | Pharmacist | 332 E Edgewood St, Sidney, OH 45365-1604 | 2016-04-18 |
| 1568762656 | Wendall F. Gaston | Pharmacist | 1930 Illinois St, Sidney, NE 69162-1427 | 2010-10-24 |
| 1740441658 | Lutfallah T Swabini | Pharmacist | Main St and Steiner Rd, Sidney, NY 13838 | 2008-06-23 |
| 1609477892 | Keith Eric Kauffmann | Pharmacist | 2400 Michigan St, Sidney, OH 45365-9080 | 2020-11-04 |
| 1053920272 | Emily Marin Madsen | Pharmacist | 402 E Main St, Sidney, MT 59270-4633 | 2020-07-23 |
| 1932723855 | Kelsie Smith | Pharmacist | 2400 Michigan St, Sidney, OH 45365-9080 | 2020-06-05 |
| 1124686746 | Michael Patrick Hicks | Pharmacist | 1944 Illinois St, Sidney, NE 69162-1427 | 2019-05-29 |
| 1265907091 | Deborah Liechty | Pharmacist | 1159 S Central Ave, Sidney, MT 59270-5219 | 2018-10-08 |
| 1265914014 | Emily Johnson | Pharmacist | 1000 Pole Creek Xing, Sidney, NE 69162-2901 | 2018-08-29 |
| Find all providers in SIDNEY | ||||
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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.