STACEY LEE WILCOX (NPI# 1679814008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679814008 |
| Entity Type | Individual |
| Full Name | STACEY LEE WILCOX |
| Other Name | STACEY LEE PUCKETT |
| Credential | PHARM.D. |
| Practice Address |
22370 Davis Dr Ste 190 Sterling VA 20164-5367 |
| Practice Telephone | 7034664900 |
| Practice Fax Number | 7034664901 |
| Mailing Telephone | 7034664900 |
| Mailing Fax Number | 7034664901 |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202206177 | VA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021889 | Stacey Wilcox | Technician | 1447 Nw Wayne Pl Apt 105, Lake City, FL 32055-6107 | 2020-07-28 |
| Street Address |
22370 DAVIS DR STE 190 |
| City | STERLING |
| State | VA |
| Zip Code | 20164-5367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235431495 | Charles Wesley Durham | Technician/Technologist | 22370 Davis Dr Ste 190, Sterling, VA 20164-5367 | 2010-11-21 |
| 1043797285 | Richard Logan Altizer | Pharmacist | 22370 Davis Dr Ste 190, Sterling, VA 20164-5367 | 2018-07-20 |
| 1083956247 | Donna Matthias | Pharmacist | 22370 Davis Dr Ste 190, Sterling, VA 20164-5367 | 2013-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255962239 | Ying Jiu Liu | Acupuncturist | 45665 W Church Rd #110 Stering, Stering, VA 20164 | 2020-01-29 |
| 1417599986 | Nab Homecare, Inc. | In Home Supportive Care | 45640 Willow Pond Plaza, Suite 100, Sterling, VA 20164 | 2019-10-16 |
| 1962905323 | Grace A Oluwadiya | Registered Nurse | 21335 Signal Hill Plaza, Suite 270, Sterling, VA 20164 | 2018-03-13 |
| 1922468602 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 21399 Epicerie Plaza, Sterling, VA 20164 | 2016-02-24 |
| 1942625603 | Totalmobility LLC | Durable Medical Equipment & Medical Supplies | 201 Davis Drive, Suite Nn, Sterling, VA 20164 | 2014-03-04 |
| 1346689189 | Traci Collier | Pharmacist | 22375 Davis Dr, Sterling, VA 20164 | 2013-06-14 |
| 1770842536 | Costco Pharmacy 218 | Clinic/Center | 21398 Price Cascades Plaza, Sterling, VA 20164 | 2012-05-14 |
| 1922371426 | Totalmobility, LLC | Durable Medical Equipment & Medical Supplies | 111k Carpenter Drive, Sterling, VA 20164 | 2012-02-14 |
| 1750676789 | Sheikh M Rasul | Pharmacist | 20600 Great Falls Plaza, Sterling, VA 20164 | 2011-06-17 |
| 1932260114 | Veena Railan | Family Medicine | 101 E.holly Avenue, Unit 9, Sterling, VA 20164 | 2006-12-12 |
| Find all providers in zip 20164 | ||||
| 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 |
|---|---|---|---|---|
| 1619578358 | Mina Ekdawi | Pharmacist | 45735 Smoketree Ter, Sterling, VA 20166-7202 | 2020-11-07 |
| 1669073888 | Chanju Shim | Pharmacist | 21000 Southbank St, Sterling, VA 20165-7242 | 2020-11-04 |
| 1376142745 | Brian Pawlicki | Pharmacist | 21399 Epicerie Plz, Sterling, VA 20164-6603 | 2020-10-18 |
| 1932727492 | Thu Nguyen | Pharmacist | 22819 Oakgrove Rd, Sterling, VA 20166-4369 | 2020-07-10 |
| 1942828033 | Haneen Kala | Pharmacist | 45451 Baggett Ter, Sterling, VA 20166-3034 | 2020-07-06 |
| 1750924593 | Joy Chen | Pharmacist | 22991 Rock Hill Rd, Sterling, VA 20166-9414 | 2019-10-24 |
| 1740614320 | Wesley Alfred Vermies | Pharmacist | 2901 E. Fourth St, Sterling, IL 61081 | 2013-08-30 |
| 1346689189 | Traci Collier | Pharmacist | 22375 Davis Dr, Sterling, VA 20164 | 2013-06-14 |
| 1760741466 | Dawn Coley | Pharmacist | 45130 Columbia Place, Sterling, VA 20166 | 2012-05-15 |
| 1417224080 | David Ronald Lorenzo | Pharmacist | 731 Fairhurst St, Sterling, CO 80751-4525 | 2011-11-25 |
| Find all providers in STERLING | ||||
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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.