DR. ERIC WYANT (NPI# 1245830256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245830256 |
| Entity Type | Individual |
| Full Name | DR. ERIC WYANT |
| Credential | PHARMD, RPH |
| Practice Address |
1115 American Way Boonville IN 47601-8604 |
| Practice Telephone | 8128970089 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26021739A | IN | Pharmacy Service Providers |
| Street Address |
1115 AMERICAN WAY |
| City | BOONVILLE |
| State | IN |
| Zip Code | 47601-8604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124045349 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1115 American Way, Boonville, IN 47601-8604 | 2006-07-16 |
| 1134720071 | Sierra Meier | Pharmacist | 1115 American Way, Boonville, IN 47601-8604 | 2020-11-06 |
| 1356973895 | Nicole Andrea Spencer | Pharmacist | 1115 American Way, Boonville, IN 47601-8604 | 2020-02-11 |
| 1831272558 | Wal-mart Stores East, Lp | Technician/Technologist | 1115 American Way, Boonville, IN 47601-8604 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235617622 | Dante J Grasso | Dentist | 602 W. Locust St., Boonville, IN 47601 | 2018-07-30 |
| 1053785774 | Michael P Royalty Md LLC | Pain Medicine | 4888 Lost Lake Ct, Boonville, IN 47601 | 2015-11-18 |
| 1982097911 | Doctor James E. Eash, D.d.s., P.C. | Exclusive Provider Organization | 911 Aigner Drive, Boonville, IN 47601 | 2015-03-16 |
| 1073734315 | Warrick County School Corp. | Local Education Agency (LEA) | 300 East Gum Street, Boonville, IN 47601 | 2007-05-02 |
| 1811042237 | St. Marys Warrick Hospital, Inc. | Psychiatric Unit | 1116 Millis Avenue, Boonville, IN 47601 | 2007-01-24 |
| 1073687877 | James E Eash | Dentist | 911 Aigner Dr, Boonville, IN 47601 | 2006-11-20 |
| 1902073554 | Tri-state Behavioral Health LLC | Psychiatry & Neurology | 1116 Millis Ave, St. Mary's Warrick, Boonville, IN 47601 | 2008-05-13 |
| 1073668273 | St. Mary's Warrick Hospital, Inc. | Medicare Defined Swing Bed Unit | 1116 Millis Avenue, Boonville, IN 47601 | 2007-01-25 |
| 1790889046 | Jeffrey P Kolb | Dentist | 602 W Locust St, Boonville, IN 47601-0167 | 2006-09-08 |
| 1376631572 | Kolb & Kolb Dds LLC | Dentist | 602 W Locust St, Boonville, IN 47601-0167 | 2006-10-11 |
| Find all providers in zip 47601 | ||||
| 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 |
|---|---|---|---|---|
| 1447582606 | Jessica M Maurer | Pharmacist | 261 Utica Blvd, Boonville, NY 13309 | 2010-02-12 |
| 1104000850 | Michael Jonathan Kramer | Pharmacist | 102 E Schuyler St, Boonville, NY 13309-1104 | 2007-12-18 |
| 1134720071 | Sierra Meier | Pharmacist | 1115 American Way, Boonville, IN 47601-8604 | 2020-11-06 |
| 1992305783 | Brad Lee Boerio | Pharmacist | 2150 Main St, Boonville, MO 65233-1941 | 2020-10-29 |
| 1720688666 | Tiffany Lenz | Pharmacist | 2150 Main St, Boonville, MO 65233-1941 | 2020-10-29 |
| 1992305767 | Robyn Smith | Pharmacist | 800 Main St, Boonville, MO 65233-1658 | 2020-10-29 |
| 1588264873 | Sabrina Dawn Simmons | Pharmacist | 2150 Main St, Boonville, MO 65233-1941 | 2020-10-27 |
| 1356973895 | Nicole Andrea Spencer | Pharmacist | 1115 American Way, Boonville, IN 47601-8604 | 2020-02-11 |
| 1003090242 | Michele Van Dreason | Pharmacist | 261 Utica Boulevard, Boonville, NY 13309 | 2007-12-24 |
| 1295919769 | Monica Mazur | Pharmacist | 102 E Schuyler St, Boonville, NY 13309-1104 | 2007-12-20 |
| Find all providers in BOONVILLE | ||||
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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.