MRS. MALLORY WEBB WILSON (NPI# 1720509094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720509094 |
| Entity Type | Individual |
| Full Name | MRS. MALLORY WEBB WILSON |
| Credential | PHARMD |
| Practice Address |
20332 Al Highway 33 Moulton AL 35650-9204 |
| Practice Telephone | 2569744900 |
| Mailing Telephone | 2569744900 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2020-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 17071 | AL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033723259 | Mallory Elizabeth Wilson | Physical Therapist | 3125 Independence Dr Ste 300b, Homewood, AL 35209-4168 | 2020-09-04 |
| 1073930723 | Mallory Marie Wilson | Occupational Therapy Assistant | 502 E Market St, New Sharon, IA 50207-9757 | 2014-03-19 |
| 1629311378 | Mallory Wilson | Counselor | 8019 Compton Ave, Los Angeles, CA 90001-3409 | 2013-04-01 |
| 1114195476 | Mallory A Wilson | Nurse Anesthetist, Certified Registered | 1201 11th Ave S, Birmingham, AL 35205-3410 | 2008-02-20 |
| Street Address |
20332 AL HIGHWAY 33 |
| City | MOULTON |
| State | AL |
| Zip Code | 35650-9204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366965576 | Moultrie Pharmacy At Langtown LLC | Pharmacy | 20332 Al Highway 33, Moulton, AL 35650-9204 | 2017-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366892804 | Leigh Ann Black | Speech-Language Pathologist | 300 Hospital Street, Moutlon, AL 35650 | 2016-06-15 |
| 1518285683 | Wesley A Dubose Od Inc | Optometrist | 213 Cox Creek Parkway, Florence, AL 35650 | 2010-05-13 |
| 1831347327 | Kenneth F. Seale | Dentist | 926 East Street, Moulton, AL 35650 | 2008-09-09 |
| 1902022841 | Shannon Lee Johnson | Counselor | 317 Hospital Street, Moulton, AL 35650 | 2007-04-18 |
| 1588726111 | Stephen Ray Mclemore | Pharmacist | 11809 Alabama Highway 157, Moulton, AL 35650 | 2006-12-13 |
| 1174692107 | Charles David Joiner Jr. | Pharmacist | 22747 Al Hwy 24 Ste D, Moulton, AL 35650 | 2006-11-06 |
| 1578677563 | Town & Country Pharmacy Inc | Pharmacy | 22747 Hwy 24 Ste D, Moulton, AL 35650 | 2006-08-18 |
| 1386680049 | Kathleen Louise Bachelor | Nurse Practitioner | 10939 Alabama Highway 157, Moulton, AL 35650 | 2006-06-21 |
| 1649239922 | Gini M Montgomery | Nurse Practitioner | 10939 Al Hwy 157, Moulton, AL 35650 | 2006-03-23 |
| 1821147182 | Lizz Lackey Waple | Occupational Therapy Assistant | 300 Hospital St, Moulton, AL 35650 | 2007-01-09 |
| Find all providers in zip 35650 | ||||
| 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 |
|---|---|---|---|---|
| 1588726111 | Stephen Ray Mclemore | Pharmacist | 11809 Alabama Highway 157, Moulton, AL 35650 | 2006-12-13 |
| 1174692107 | Charles David Joiner Jr. | Pharmacist | 22747 Al Hwy 24 Ste D, Moulton, AL 35650 | 2006-11-06 |
| 1881695211 | Robert W. Olle | Pharmacist | 103 N. Main Street, Moulton, TX 77975-0429 | 2005-08-09 |
| 1356816995 | Michelle Burleson | Pharmacist | 15445 Al Highway 24, Moulton, AL 35650-6602 | 2018-10-10 |
| 1740702851 | Sandra Willingham Biddle | Pharmacist | 15445 Al Highway 24, Moulton, AL 35650-6602 | 2017-07-10 |
| 1164943288 | Angela Renae Simpson | Pharmacist | 15445 Al Highway 24, Moulton, AL 35650-6602 | 2017-06-28 |
| 1396265955 | Tracy Halbrooks | Pharmacist | 15445 Al Highway 24, Moulton, AL 35650-6602 | 2017-06-26 |
| 1942593686 | Elisabeth Erin Willis | Pharmacist | 11809 Al Highway 157, Moulton, AL 35650-2707 | 2011-05-26 |
| 1447321617 | Finch Arnold Duboise, Jr | Pharmacist | 11809 Al Highway 157, Moulton, AL 35650-2707 | 2006-11-10 |
| 1124197116 | Deborah Stephens Mclemore | Pharmacist | 11809 Al Highway 157, Suite A, Moulton, AL 35650-2707 | 2006-11-06 |
| Find all providers in MOULTON | ||||
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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.