DARRELL WILSON (NPI# 1770732745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770732745 |
| Entity Type | Individual |
| Full Name | DARRELL WILSON |
| Credential | PHARMD |
| Practice Address |
140 E Main St Othello WA 99344-1040 |
| Mailing Address |
5100 W Clearwater Ave Apt C202 Kennewick WA 99336-2085 |
| Practice Telephone | 1509488525 |
| Mailing Telephone | 5094885256 |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH00070063 | WA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942411095 | Darrell A Wilson | Counselor | 2520 S Florida Ct, Joplin, MO 64804-2900 | 2007-05-24 |
| 1922160530 | Darrell L Wilson | Surgery | 1303 N Main St, Cedar City, UT 84720-9746 | 2006-12-14 |
| 1740356880 | Darrell L Wilson | Counselor | 3601c Meeting Street Rd, N Charleston, SC 29405-7715 | 2006-11-28 |
| 1659357200 | Darrell Mealer Wilson | Pediatrics | 300 Pasteur Dr, S-302 Med Center Mc 5208, Stanford, CA 94305-5208 | 2005-12-15 |
| Street Address |
140 E MAIN ST |
| City | OTHELLO |
| State | WA |
| Zip Code | 99344-1040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861913279 | Leo Gaeta | Social Worker | 140 E Main St, Othello, WA 99344-1040 | 2017-07-06 |
| 1437518495 | Laurianne Sakai | Student in an Organized Health Care Education/Training Program | 140 E Main St, Othello, WA 99344-1040 | 2016-02-18 |
| 1427417807 | Jeffrey Chang | Student in an Organized Health Care Education/Training Program | 140 E Main St, Othello, WA 99344-1040 | 2016-02-15 |
| 1083073522 | Jordan Endres | Student in an Organized Health Care Education/Training Program | 140 E Main St, Othello, WA 99344-1040 | 2016-02-12 |
| 1063897957 | Kittrick Kane | Physician Assistant | 140 E Main St, Othello, WA 99344-1040 | 2015-07-21 |
| 1659753168 | Leigh Castillo | Pharmacist | 140 E Main St, Othello, WA 99344-1040 | 2015-06-19 |
| 1356733307 | Chi Mac | Pharmacist | 140 E Main St, Othello, WA 99344-1040 | 2015-02-27 |
| 1386071454 | Lusila Judith Valdez | Dental Hygienist | 140 E Main St, Othello, WA 99344-1040 | 2013-10-03 |
| 1063849529 | Clarissa Jimenez | Dental Hygienist | 140 E Main St, Othello, WA 99344-1040 | 2013-09-30 |
| 1548608649 | Mark Eugene Petersen | Pharmacist | 140 E Main St, Othello, WA 99344-1040 | 2013-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073031613 | Robert Lee Mccrorie | Physician Assistant | Cbha 1515 East Columbia Street, Othello, WA 99344 | 2017-09-04 |
| 1134504145 | Body Kneads Massage Therapy | Preferred Provider Organization | 445 Cedar Blvd., Suite C, Othello, WA 99344 | 2015-07-21 |
| 1457756421 | Weeping Ridge Estate Adult Family Home Inc | Custodial Care Facility | 2455 W. Bench Rd, Othello, WA 99344 | 2014-11-03 |
| 1275938243 | Weeping Ridge West, Inc. | Custodial Care Facility | 2455 West Bench Rd, Othello, WA 99344 | 2014-11-03 |
| 1437572617 | Sterling Gerber | Physical Therapist | 315 Nth 14th Ave., Othello, WA 99344 | 2014-01-24 |
| 1346688330 | Amaris Suarez | Counselor | 425 E. Main Street, Suite 600, Othello, WA 99344 | 2013-06-12 |
| 1669679387 | Jessica Brooks Smith | Pharmacist | 140 E. Main St, Othello, WA 99344 | 2007-06-27 |
| 1174688030 | Percy N Erdmann | General Practice | 1207 E Main, Othello, WA 99344 | 2006-12-22 |
| 1962581405 | Ian Fuger | Dentist | 140 E Main Street, Othello, WA 99344 | 2006-11-03 |
| 1194819540 | Richard A Maywald | Counselor | 425 E Main Suite 600, Othello, WA 99344 | 2006-10-02 |
| Find all providers in zip 99344 | ||||
| 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 |
|---|---|---|---|---|
| 1760835383 | Isaac Martinez | Pharmacist | 615 S 18th Ave, Othello, WA 99344-1581 | 2016-07-19 |
| 1669679387 | Jessica Brooks Smith | Pharmacist | 140 E. Main St, Othello, WA 99344 | 2007-06-27 |
| 1932577202 | Arden Bryan Sherrill | Pharmacist | 1860 E Main St, Othello, WA 99344-1578 | 2015-09-03 |
| 1659753168 | Leigh Castillo | Pharmacist | 140 E Main St, Othello, WA 99344-1040 | 2015-06-19 |
| 1356733307 | Chi Mac | Pharmacist | 140 E Main St, Othello, WA 99344-1040 | 2015-02-27 |
| 1548608649 | Mark Eugene Petersen | Pharmacist | 140 E Main St, Othello, WA 99344-1040 | 2013-06-11 |
| 1043552839 | Kyle Shane Hogaboam | Pharmacist | 140 E Main St, Othello, WA 99344-1040 | 2013-03-20 |
| 1740539337 | Jordan William Sheffer | Pharmacist | 140 E Main St, Othello, WA 99344-1040 | 2012-08-29 |
| 1932475365 | Ravichandra Kamisetti | Pharmacist | 1860 E Main St, Othello, WA 99344-1578 | 2012-03-29 |
| 1114247327 | Nathan Spinelli | Pharmacist | 140 E Main St, Othello, WA 99344-1040 | 2010-06-10 |
| Find all providers in OTHELLO | ||||
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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.