REBECCA MILLER WALL (NPI# 1255870028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255870028 |
| Entity Type | Individual |
| Full Name | REBECCA MILLER WALL |
| Credential | PHARMD |
| Practice Address |
13316 Alex Cir Eagle River AK 99577-6714 |
| Practice Telephone | 9062810148 |
| Mailing Telephone | 9062810148 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 5302036941 | MI | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PHAP2305 | AK | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275019960 | Rebecca Wall | Registered Nurse | 8208 County Road 202, Plantersville, TX 77363-7797 | 2018-07-16 |
| 1912562042 | Rebecca Marie Wall | Occupational Therapist | 1815 W 213th St Ste 100, Torrance, CA 90501-2852 | 2019-05-03 |
| 1356300362 | Rebecca Wall | Nurse Anesthetist, Certified Registered | 425 Lewis Hargett Cir, Lexington, KY 40503-3590 | 2006-03-20 |
| Street Address |
13316 ALEX CIR |
| City | EAGLE RIVER |
| State | AK |
| Zip Code | 99577-6714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831758333 | Dianne E Lyons | Behavior Technician | 16331 Heritage Place, Suite 101, Eagle River, AK 99577 | 2019-06-07 |
| 1073007209 | Center for Natural Medicine, Inc. | Acupuncturist | 16844 Easy St, Eagle River, AK 99577 | 2018-06-20 |
| 1538652748 | Shelly Rana Budde | Nurse Practitioner | 19139 Upper Skyline Dr, Eagle River, AK 99577 | 2018-06-12 |
| 1700387529 | Aaron Wesley Jones | Behavior Technician | 16941 Notrh Eagle River Loop Road, Eagle River, Ak, AK 99577 | 2018-02-27 |
| 1033641881 | Sierra Bracken | Massage Therapist | 12812 Old Glenn Hwy, Ste C3, Eagle River, AK 99577 | 2017-03-31 |
| 1699213231 | Jolene Denee Rogers | Counselor | 13620 Old Glenn Hwy, Ste C, Eagle River, AK 99577 | 2017-02-02 |
| 1881040962 | Elizabeth Hanson | Behavioral Analyst | 16941 North Eagle River Loop Road, Suite 3, Eagle River, AK 99577 | 2016-05-09 |
| 1023496148 | Joel Richard Wallace | Dentist | 16727 Farm Avenue, Eagle River, AK 99577 | 2015-05-08 |
| 1184019663 | Nicole Christine Newman | Physician Assistant | 11432 Business Blvd., Suite 4, Eagle River, AK 99577 | 2015-04-01 |
| 1417365362 | Tammi Smith | Community Health Worker | 16510 Centerfield Dr B 107, Eagle River, AK 99577 | 2014-07-23 |
| Find all providers in zip 99577 | ||||
| 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 |
|---|---|---|---|---|
| 1609488766 | Laray Alan Thompson | Pharmacist | 123 E Wall St, Eagle River, WI 54521 | 2020-08-20 |
| 1235678491 | Nicholas Marceaux | Pharmacist | 17914 Tonsina Ct, Eagle River, AK 99577-8254 | 2017-02-20 |
| 1972854289 | Erin Murphy | Pharmacist | 20524 Philadelphia Way, Eagle River, AK 99577-8497 | 2012-09-26 |
| 1053543322 | Robert Charles Moore | Pharmacist | 17452 Kahiltna Dr, Eagle River, AK 99577-8127 | 2009-08-20 |
| 1518099134 | Edward Douglas Tsao | Pharmacist | 4315 Martens Road, Unit 1, Eagle River, WI 54521-9047 | 2007-03-09 |
| 1558381459 | River North Pharmacy | Pharmacist | 711-e Hwy 45 North, Eagle River, WI 54521 | 2006-07-20 |
| 1174139547 | Emily Morgan | Pharmacist | 12051 Old Glenn Hwy, Eagle River, AK 99577-7736 | 2020-09-21 |
| 1568075497 | Nancy Lou Smith | Pharmacist | 123 E Wall St, Eagle River, WI 54521-9550 | 2020-08-29 |
| 1376155176 | Marianne Bergs | Pharmacist | 123 E Wall St, Eagle River, WI 54521-9550 | 2020-08-21 |
| 1093348831 | Allison Ann Sielicki | Pharmacist | 108 W Wall St, Eagle River, WI 54521-9811 | 2020-02-20 |
| Find all providers in EAGLE RIVER | ||||
| City | EAGLE RIVER |
| Zip Code | 99577 |
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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.