DR. BRANDIE LYNN WILKERSON


Address: 300 N Morley St, Moberly, MO 65270-2334
Phone: 6602630909

DR. BRANDIE LYNN WILKERSON (NPI# 1558970475) 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) 1558970475
Entity Type Individual
Full Name DR. BRANDIE LYNN WILKERSON
Other Name DR. BRANDIE LYNN ROBERTS
Credential PHARM. D.
Practice Address 300 N Morley St
Moberly
MO 65270-2334
Mailing Address 19306 Monroe Road 971
Holliday
MO 65258-2168
Practice Telephone 6602630909
Practice Fax Number 6602632124
Mailing Telephone 6608335670
Enumeration Date 2020-07-27
Last Update Date 2020-07-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 2015024599 MO Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO MISSOURI BOARD OF PHARMACY 20150248599 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
530 E Highway 24, Moberly, MO 652703622 6602636710

Office Location

Street Address 300 N MORLEY ST
City MOBERLY
State MO
Zip Code 65270-2334

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962401430 Randy A Foster Family Medicine 300 N Morley St, Suite G, Moberly, MO 65270-2334 2005-07-18
1659987584 Sams Prescription Shop Inc Pharmacy 300 N Morley St, Moberly, MO 65270-2334 2020-09-16
1609233956 Rhonda Cachero Pharmacist 300 N Morley St, Moberly, MO 65270-2334 2016-01-18
1295092419 Moberly Hospital Company LLC Clinic/Center 300 N Morley St, Ste G/h, Moberly, MO 65270-2334 2012-04-12
1336464361 Jill R Darwent Pharmacist 300 N Morley St, Moberly, MO 65270-0957 2010-04-01
1972828242 Salim S Tadrus Pharmacist 300 N Morley St, Moberly, MO 65270-2334 2010-03-30
1578896049 Frederic Lee Gottman Physical Therapist 300 N Morley St, Moberly, MO 65270-2334 2009-09-15
1336390822 Kathleen A Kinnaman Nurse Practitioner 300 N Morley St, Ste A-c, Moberly, MO 65270-2334 2008-10-02
1134137391 Foster Family Medicine & Associates LLC Family Medicine 300 N Morley St, Moberly, MO 65270-2334 2006-08-04
1568453397 Sams Prescription Shop Inc Pharmacy 300 N Morley St, Moberly, MO 65270-2334 2005-11-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538628052 Thomas Johnston Physical Therapist Thrive Physical Therapy, LLC, 417 E Urbandale Drive, Moberly, MO 65270 2019-03-14
1245709682 Sam's Prescription Shop, Inc. Durable Medical Equipment & Medical Supplies 300 N. Morley Street, Moberly, MO 65270 2018-11-15
1639324585 Trinidad J. Aguilera General Practice 5201 South Morley, Moberly, MO 65270 2008-11-19
1023270170 Jessica Winn Internal Medicine 1513 Union Ave Ste 1500, Moberly, MO 65270 2008-06-30
1629237383 Heather Ann Lavalley Physical Therapy Assistant 1346 S Morley, Moberly, MO 65270 2008-06-06
1265602429 Mckenzie Prescription Center Inc Hearing Aid Equipment 643 N Morley St Ste A, Moberly, MO 65270 2008-03-04
1366624165 Sharon Kay Steele Military Hospital 1510 Highway Jj Lot41, Moberly, MO 65270 2007-12-04
1932241536 Christian S Tadrus Pharmacist 530 E. 24 Highway, (26-39586), Moberly, MO 65270 2007-02-12
1588700140 Heartland Neurology, LLC Psychiatry & Neurology 300 N. Morley, Suite H, Moberly, MO 65270 2007-01-30
1164571519 John James Oloughlin Dentist 1616 N Morely, Ste B, Moberly, MO 65270 2007-01-08
Find all providers in zip 65270

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
1932241536 Christian S Tadrus Pharmacist 530 E. 24 Highway, (26-39586), Moberly, MO 65270 2007-02-12
1083214480 Bethany Billups Pharmacist 1301 E Highway 24, Moberly, MO 65270-3655 2020-10-27
1891306528 Ian Thacker Pharmacist 1711 N Morley St, Moberly, MO 65270-3630 2020-08-14
1841737582 Anne C. Eisenbeis Pharmacist 530 East 24 Highway, Moberly, MO 65270 2017-01-19
1609233956 Rhonda Cachero Pharmacist 300 N Morley St, Moberly, MO 65270-2334 2016-01-18
1780060855 Kerri Manson Pharmacist 530 E Highway 24, Moberly, MO 65270-3622 2015-07-30
1962814541 Barbara Ann Woodcock Pharmacist 1301 E Highway 24, Moberly, MO 65270-3683 2014-05-29
1275810558 Shirley Marie Kribbs Pharmacist 1711 N Morley St, Moberly, MO 65270-3630 2011-11-14
1427334135 Tracie Crawford Lykins Pharmacist 300 N. Morley, Moberly, MO 65270 2011-10-26
1831472760 Kimberly Moore Pharmacist 1301 E Highway 24, Moberly, MO 65270-3683 2011-09-27
Find all providers in MOBERLY

Competitor

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City MOBERLY
Zip Code 65270

Improve Information

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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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