STACIE WILSON


Address: 1019 Grandiflora Dr, Leland, NC 28451-7453
Phone: 9103710233

STACIE WILSON (NPI# 1306112115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306112115
Entity Type Individual
Full Name STACIE WILSON
Credential PHARMD
Practice Address 1019 Grandiflora Dr
Leland
NC 28451-7453
Practice Telephone 9103710233
Enumeration Date 2012-03-26
Last Update Date 2012-03-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 22305 NC Pharmacy Service Providers
N 183500000X Pharmacist RPH024755 GA Pharmacy Service Providers
N 183500000X Pharmacist PS44006 FL Pharmacy Service Providers

Other Providers STACIE WILSON

NPI Name Taxonomy Address Enumeration
1407081557 Stacie Peek Wilson Skilled Nursing Facility 2701 Meridian Street North, Huntsville, AL 35811 2009-05-19
1902469075 Stacie Michelle Wilson Internal Medicine 91 Florissant Oaks Shop Ctr, Florissant, MO 63031-3934 2019-04-15
1700208873 Stacie Adrienne Wilson Psychologist 3300 Academy Ave, Churchland Psychiatric Associates, Portsmouth, VA 23703-3205 2014-01-09
1386884443 Stacie Dionne Wilson Social Worker 420 W 5th Ave, Flint, MI 48503-2445 2009-03-03
1720248099 Stacie Wilson Technician 10 S Main St Unit B, Weaverville, NC 28787-8463 2008-06-11

Office Location

Street Address 1019 GRANDIFLORA DR
City LELAND
State NC
Zip Code 28451-7453

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457529208 Walgreen Co Durable Medical Equipment & Medical Supplies 1019 Grandiflora Dr, Leland, NC 28451-7453 2008-02-14
1326694555 Nicolas Haines Pharmacist 1019 Grandiflora Dr, Leland, NC 28451-7453 2019-08-13
1942755939 Katlyn Dorazio Pharmacist 1019 Grandiflora Dr, Leland, NC 28451-7453 2016-08-18
1407260474 Jacquelyn Parmeter Pharmacist 1019 Grandiflora Dr, Leland, NC 28451-7453 2014-06-17
1699037903 Sofia Nagy Pharmacist 1019 Grandiflora Dr, Leland, NC 28451-7453 2012-06-12
1053649616 Michael Robinson Pharmacist 1019 Grandiflora Dr, Leland, NC 28451-7453 2009-11-19
1518290816 Benjamin Forrest Mitchell Pharmacist 1019 Grandiflora Dr, Leland, NC 28451-7453 2009-09-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811427156 Town of Leland Ambulance 1004 Village Rd, Leland, NC 28451 2017-06-19
1205389517 Total Renal Care of North Carolina LLC Clinic/Center 1220 Magnolia Village Way, Leland, NC 28451 2016-08-03
1043696800 William Sanders Sr. Respite Care 3043 Ramble Dr, Leland, NC 28451 2015-08-04
1457730707 Devinn L Geeson Dentist 1215 Westgate Drive, Suite 180, Leland, NC 28451 2015-05-20
1740611706 Mark C. Austin Omfs, Pllc Oral & Maxillofacial Surgery 2001 South Baxter Drive, Leland, NC 28451 2013-12-02
1750711123 Donna Rose Hodnicki Nurse Practitioner 1132 East Cutler Crossing, Leland, NC 28451 2013-11-20
1992137996 Abbey Jones Mcclanahan Physical Therapist 1003 Olde Waterford Way # B, Leland, NC 28451 2013-08-01
1306010780 Walter B. Futch, Jr. Dds Pa Dentist 1006 Northgate Drive, Leland, NC 28451 2008-04-17
1639357429 Sbh- Wilmington, LLC Psychiatric Hospital 2050 Mercantile Drive, Leland, NC 28451 2008-02-05
1396930137 F.a.c. Group Homes, LLC Residential Treatment Facility, Emotionally Disturbed Children 9485 Huckabee Ct, Leland, NC 28451 2007-09-13
Find all providers in zip 28451

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205207727 Jocelyn Anne Ott Pharmacist 1222 Maple Tree Dr, 301, Leland, NC 28451-9170 2015-10-09
1679881783 Sean Patrick Gray Pharmacist 117a Village Rd Ne, Leland, NC 28451-7413 2010-09-23
1346857455 Shatima Parish Pharmacist 117a Village Rd Ne, Leland, NC 28451-7413 2020-09-23
1871107441 Jalpa R Pandya Pharmacist 1112 New Pointe Blvd, Leland, NC 28451-4115 2020-09-01
1952914160 Melanie Loughner Pharmacist 1112 New Pointe Blvd, Leland, NC 28451-4115 2020-08-26
1356974844 Nicholas Vachon Pharmacist 117a Village Rd Ne, Leland, NC 28451-7413 2020-02-13
1326694555 Nicolas Haines Pharmacist 1019 Grandiflora Dr, Leland, NC 28451-7453 2019-08-13
1568908549 Meredith Erin Hall Pharmacist 1112 New Pointe Blvd, Leland, NC 28451-4115 2017-01-13
1598210445 Jared Derossi Pharmacist 117a Village Rd Ne, Leland, NC 28451-7413 2016-08-22
1942755939 Katlyn Dorazio Pharmacist 1019 Grandiflora Dr, Leland, NC 28451-7453 2016-08-18
Find all providers in LELAND

Competitor

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City LELAND
Zip Code 28451

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Dataset Information

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.

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