SAMUEL A. WILSON (NPI# 1336360049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336360049 |
| Entity Type | Individual |
| Full Name | SAMUEL A. WILSON |
| Credential | R.PH. |
| Practice Address |
5100 Highway 39 N Meridian MS 39301-1023 |
| Mailing Address |
6704 11th Ave Meridian MS 39305-1131 |
| Practice Telephone | 6014850818 |
| Mailing Telephone | 6014797069 |
| Mailing Fax Number | 6014833772 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | R-6713 | MS | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174935431 | Samuel Wilson | Internal Medicine | 170 Manning Drive 1st Floor Physician's Office Bldg, Chapel Hill, NC 27599-5368 | 2014-05-21 |
| 1376637652 | Samuel B Wilson | Internal Medicine | Diabetes Labs, 65 Landsdowne Street, Cambridge, MA 02138 | 2006-10-03 |
| 1912948019 | Samuel G Wilson | Emergency Medicine | 12021 Jacaranda Ave, 101, Hesperia, CA 92345-4956 | 2006-06-09 |
| 1083110514 | Samuel Wilson | Student in an Organized Health Care Education/Training Program | 4502 E 41st St, Tulsa, OK 74135-2536 | 2018-04-03 |
| 1821422809 | Samuel Lloyd Wilson | Physical Therapist | 2900 Foxfield Rd, Suite 205, St Charles, IL 60174-5799 | 2013-08-27 |
| 1295072189 | Samuel Alan Wilson | Pharmacist | 911 Duluth Hwy, Lawrenceville, GA 30043-5320 | 2013-01-11 |
| 1477865194 | Samuel M. Wilson | Dermatology | 2320 Freeway Drive, Skagit Regional Clinics-riverbend, Mount Vernon, WA 98273 | 2010-07-10 |
| 1275763286 | Samuel Beringer Wilson | Counselor | 619 E 5th St, Los Angeles, CA 90013-2109 | 2009-07-24 |
| 1932240090 | Samuel Lamar Wilson | Psychiatry & Neurology | 1137 2nd St, #111, Santa Monica, CA 90403-5011 | 2007-02-10 |
| 1518065861 | Samuel Eric Wilson | Surgery | 101 The City Dr S, Suite 810 City Tower, Orange, CA 92868-3201 | 2006-09-20 |
| Street Address |
5100 HIGHWAY 39 N |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235151879 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 5100 Highway 39 N, Meridian, MS 39301-1023 | 2006-07-24 |
| 1700314093 | Jennifer Ashley Moore | Pharmacist | 5100 Highway 39 N, Meridian, MS 39301-1023 | 2017-05-31 |
| 1023188984 | Ellen Darnell Baltzell | Pharmacist | 5100 Highway 39 N, Meridian, MS 39301-1023 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| 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 |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1386282572 | Renee L Patton | Pharmacist | 520 S Eagle Rd Ste 2108, Meridian, ID 83642-6363 | 2019-12-18 |
| 1114370319 | Whitney Lauren Hurt | Pharmacist | 1280 S Ashlee Pl, Meridian, ID 83642-2489 | 2016-07-22 |
| 1831583053 | William Belau | Pharmacist | 2703 S Weber Rapids Pl, Meridian, ID 83642-7481 | 2015-03-25 |
| 1811305089 | Cassandra Carper | Pharmacist | 1968 N Golfview Way, Meridian, ID 83646 | 2014-07-31 |
| 1790101970 | Rebecca Barrios | Pharmacist | 2115 W Apgar Creek Dr, Meridian, ID 83646-5985 | 2014-03-11 |
| 1679909824 | Chelsey Wright | Pharmacist | 5621 N Larkwood Ave, Meridian, ID 83646-5972 | 2013-09-19 |
| 1174967012 | Amy S Isaacs | Pharmacist | 800 S Industry Way, Ste 240, Meridian, ID 83642-3059 | 2013-04-22 |
| 1619239860 | Michael Gardner | Pharmacist | 1680 E Handel St, Meridian, ID 83646-4708 | 2012-06-13 |
| 1578847851 | Kathryn Handel | Pharmacist | 520 S Eagle Rd Ste 1000, Meridian, ID 83642-6353 | 2011-10-04 |
| Find all providers in MERIDIAN | ||||
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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.