WALTER WILSON (NPI# 1447790712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447790712 |
| Entity Type | Individual |
| Full Name | WALTER WILSON |
| Credential | RPH PHD |
| Practice Address |
1340 Airport Commerce Dr Bld 3 Ste 350 Austin TX 78741-6831 |
| Mailing Address |
706 Marc Taylor Dr Austin TX 78745-3706 |
| Practice Telephone | 5124438984 |
| Practice Fax Number | 5124439220 |
| Mailing Telephone | 5124438984 |
| Mailing Fax Number | 5124439220 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 36945 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407267321 | Walter Harris Wilson | Dentist | 2290 Valleydale Rd Ste 100, Hoover, AL 35244-2113 | 2014-05-13 |
| 1639334048 | Walter Wray Wilson | Family Medicine | 10221 Gibson Rd, Hayden Lake, ID 83835-9567 | 2008-07-24 |
| 1821184334 | Walter W Wilson | Family Medicine | 1000 Saint Clair Rd, Springville, AL 35146-5582 | 2006-10-04 |
| 1649255407 | Walter Brad Wilson | Physical Therapist | 766 Highway 46 S, Dickson, TN 37055-2556 | 2005-12-14 |
| 1821485400 | Walter Wilson Jr. | Psychiatry & Neurology | 1401 Madison Ave, Covington, KY 41011-3313 | 2015-04-21 |
| 1346551009 | Walter A Wilson | Pharmacist | 1956 Greentree Rd, Pittsburgh, PA 15220-1813 | 2010-06-28 |
| 1679530356 | Walter Brad Wilson | Internal Medicine | 412 North St Ste E, Nacogdoches, TX 75961 | 2006-04-27 |
| 1982684940 | Walter R Wilson | Internal Medicine | 200 1st St Sw, Rochester, MN 55905 | 2006-01-18 |
| Street Address |
1340 AIRPORT COMMERCE DR BLD 3 STE 350 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78741-6831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346273927 | Pharmacy Corporation of America | Durable Medical Equipment & Medical Supplies | 1340 Airport Commerce Dr, Bldg 3 Ste 350, Austin, TX 78741-6831 | 2006-07-08 |
| 1215276985 | Stephen Pratt | Pharmacist | 1340 Airport Commerce Dr, Austin, TX 78741 | 2013-01-31 |
| 1740568666 | Capital Pharmacy, LLC | Pharmacy | 1340 Airport Commerce Dr, Bldg. 3 Ste 350, Austin, TX 78741 | 2011-07-26 |
| 1629167523 | Jennifer Michelle Smith | Pharmacist | 1340 Airport Commerce Dr, Building 3, Suite 350, Austin, TX 78741-6831 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305173 | Enamel Dentistry Riverside, Pllc | Clinic/Center | 2435 East Riverside Drive, Suite 105, Austin, TX 78741 | 2020-08-03 |
| 1093369712 | The Tooth Inc. | Clinic/Center | 1700 E. Oltorf St, Suite 100, Austin, TX 78741 | 2019-07-31 |
| 1942702402 | Lani Kay Hartnett | Social Worker | 2410 E. Riverside Dr. Ste. G3, Austin, TX 78741 | 2018-03-01 |
| 1164946000 | Afiya Tamkeen | Dentist | 4410 East Riverside Dr., Austin, TX 78741 | 2017-08-02 |
| 1487174603 | Keila Luna | Speech-Language Pathologist | 2410 East Riverside Dr, Suite B-1, Austin, TX 78741 | 2017-06-20 |
| 1033640859 | Anastacia Erebia | Licensed Vocational Nurse | 6600 E. Ben White Blvd, Austin, TX 78741 | 2017-03-23 |
| 1376084756 | Stephanie Marie Haywood | Social Worker | 6600 E Ben White Herman Center, Austin, TX 78741 | 2017-03-17 |
| 1811437700 | Happiness Onyinyechi Nwadike | Registered Nurse | 6600 E. Ben White Herman Center, Austin, TX 78741 | 2017-02-27 |
| 1811436975 | Jennifer Salas | Licensed Practical Nurse | 6600 E. Ben White, Austin, TX 78741 | 2017-02-21 |
| 1235681008 | Amber Taylor | Occupational Therapy Assistant | 2410 E. Riverside, Suite B-1, Austin, TX 78741 | 2016-10-27 |
| Find all providers in zip 78741 | ||||
| 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 |
|---|---|---|---|---|
| 1730780230 | Han Nguyen | Pharmacist | 12900 N Interstate 35 Ste 5, Austin, TX 78753-1054 | 2020-11-03 |
| 1164022620 | Casey Nicole Franklin | Pharmacist | 13201 N Fm 620 Rd, Austin, TX 78717-1011 | 2020-10-26 |
| 1811595648 | Lisa Nguyen | Pharmacist | 6908 Colorado Bluffs Rd, Austin, TX 78744-3330 | 2020-10-14 |
| 1184231680 | Caroline Nguyen | Pharmacist | 12900 N Ih 35, Austin, TX 78753-1049 | 2020-09-29 |
| 1063028074 | Deepika Mcconnell | Pharmacist | 2102 Peach Tree St, Austin, TX 78704-2843 | 2020-09-16 |
| 1982218004 | Cassey Gracey | Pharmacist | 3201 Bee Caves Rd Ste 132, Austin, TX 78746-6777 | 2020-09-04 |
| 1518579440 | Cassandra Castillo | Pharmacist | 5908 Daly Dr, Austin, TX 78747-4101 | 2020-08-21 |
| 1194336834 | Shalini Tripathi | Pharmacist | 11506 Heathrow Dr, Austin, TX 78759-4428 | 2020-08-15 |
| 1528682986 | Charlotte C Boyce | Pharmacist | 4150 Freidrich Ln Ste I, Austin, TX 78744-1052 | 2020-06-02 |
| 1295356723 | Victoria Tackett | Pharmacist | 12005 Bee Caves Rd Ste 1a, Austin, TX 78738-6387 | 2020-05-06 |
| Find all providers in AUSTIN | ||||
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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.