EDWARD S. WILCOX (NPI# 1073678850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073678850 |
| Entity Type | Organization |
| Organization Name | EDWARD S. WILCOX |
| Other Organization Name | REDSTONE PHARMACY |
| Practice Address |
1009 Main St Republic PA 15475 |
| Practice Telephone | 7242468800 |
| Practice Fax Number | 7242465050 |
| Mailing Telephone | 7242468800 |
| Mailing Fax Number | 7242465050 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2010-08-25 |
| Authorized Official Name | MR. EDWARD S WILCOX (OWNER PHARMACIST) |
| Authorized Official Telephone | 7242468800 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | PP411751L | PA | Suppliers |
| N | 333600000X | Pharmacy | PP411751L | PA | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP411751L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 000563349 | 05 |
| Other Name | Type Code |
|---|---|
| Redstone Pharmacy | Doing Business As Name - Organization |
| Street Address |
1009 MAIN ST |
| City | REPUBLIC |
| State | PA |
| Zip Code | 15475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073672507 | Edward Samuel Wilcox | Pharmacist | 1009 Main St, Republic, PA 15475 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043430267 | Centerville Clinics, Inc. | Clinic/Center | 1006 Main Street, Republic, PA 15475 | 2007-04-27 |
| 1912045949 | Jennifer Kovach | Chiropractor | 1614 New Salem Road, Republic, PA 15475 | 2007-02-02 |
| 1932181047 | Centerville Clinics, Inc. | Dental Assistant | 1006 Main Street, Republic, PA 15475 | 2005-11-15 |
| 1477809739 | Bryan A Ferro | Pharmacist | 1009 Main Street, Box 757, Republic, PA 15475 | 2012-07-24 |
| 1558314724 | Ingrid K Toothman | Dentist | 1006 Main Street, Republic, PA 15475 | 2006-05-18 |
| 1710161336 | Aaron Lenhart | Family Medicine | 1006 Main St., P.o. Bx 786, Republic, PA 15475-0786 | 2007-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847979 | Vyjean Young | In Home Supportive Care | 919 N Township Road 181, Republic, OH 44867-9545 | 2020-09-27 |
| 1609494814 | Amy Sue Ridenour | Nurse Practitioner | 429 N Douglas Dr, Republic, MO 65738-9525 | 2020-07-14 |
| 1013539048 | Martin Dale Hodges | Physical Therapist | 830 S Illinois Ave, Republic, MO 65738-1177 | 2020-05-13 |
| 1336780386 | Sugar Tree Counseling, LLC | Counselor | 316 Us Highway 60 W, Republic, MO 65738-1433 | 2019-10-01 |
| 1215585922 | Lawana Kay Patterson | Technician | 1702 East New Madrid, Republic, MO 65738 | 2019-08-27 |
| 1023579919 | Steven Place | Marriage & Family Therapist | 1244 Us Highway 60 E, Republic, MO 65738-1248 | 2019-03-25 |
| 1609335165 | Cara Marie Shanks | Social Worker | 2030 E Charles St, Republic, MO 65738-2653 | 2019-03-14 |
| 1366909335 | Elloren Neadel Mitchell | Registered Nurse | 3275 E Jamestown St, Republic, MO 65738-9114 | 2019-02-26 |
| 1497219059 | Samantha J Steed | Chiropractor | 530 E Hadley St, Republic, MO 65738 | 2019-01-29 |
| 1295215846 | Stephanie Cronin | Speech-Language Pathologist | 201 E State Highway 174, Republic, MO 65738-1115 | 2018-08-14 |
| Find all providers in REPUBLIC | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143990 | Valerie Hellriegel | Pharmacy | 567 N Route 100, Bechtelsville, PA 19505-9263 | 2020-11-01 |
| 1134729791 | John P Russo | Pharmacy | 608 E Hillcrest Ave, New Castle, PA 16105-2254 | 2020-10-31 |
| 1538769864 | Luzerne Discount Pharmacy Inc | Pharmacy | 101 Main St Unit D, Luzerne, PA 18709-1209 | 2020-10-27 |
| 1417555616 | Dubois Regional Medical Center | Pharmacy | 265 Holiday Inn Drive Route 68, Clarion, PA 16214 | 2020-10-12 |
| 1780290197 | Weis Markets, Inc. | Pharmacy | 112 Atlantic Ave., Dingmans Ferry, PA 18328 | 2020-09-21 |
| 1275146177 | Newport Pharmacy LLC | Pharmacy | 57 S 2nd St, Newport, PA 17074-1402 | 2020-08-28 |
| 1699387779 | Allegheny Valley Hospital Retail Pharmacy | Pharmacy | 1301 Carlisle St Fl 3, Natrona Heights, PA 15065-1152 | 2020-08-19 |
| 1396355426 | Mdk Health | Pharmacy | 3985 Columbia Ave Unit 2, Columbia, PA 17512-9003 | 2020-08-04 |
| 1861000861 | Koso,llc | Pharmacy | 407 Shadeland Ave, Drexel Hill, PA 19026-1437 | 2020-07-16 |
| 1184241408 | Roosevelt Pharmacy LLC | Pharmacy | 2600 Cottman Ave, Philadelphia, PA 19149-1301 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
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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.