STACIE WILSON (NPI# 1306112115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| 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 |
| 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 |
| Street Address |
1019 GRANDIFLORA DR |
| City | LELAND |
| State | NC |
| Zip Code | 28451-7453 |
| 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 |
| 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 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 |
|---|---|---|---|---|
| 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 | ||||
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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.