WILEY JACKSON (NPI# 1790327674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790327674 |
| Entity Type | Individual |
| Full Name | WILEY JACKSON |
| Credential | RPH |
| Practice Address |
215 Piedmont Pl Danville VA 24541-4176 |
| Mailing Address |
5701 Wildrose Dr Greensboro NC 27410-8681 |
| Practice Telephone | 4347973439 |
| Mailing Telephone | 3364040786 |
| Enumeration Date | 2019-10-12 |
| Last Update Date | 2019-10-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202013051 | VA | Pharmacy Service Providers |
| Street Address |
215 PIEDMONT PL |
| City | DANVILLE |
| State | VA |
| Zip Code | 24541-4176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457537805 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 215 Piedmont Pl, Danville, VA 24541-4176 | 2008-01-16 |
| 1669079745 | Emily Scott | Pharmacist | 215 Piedmont Pl, Danville, VA 24541-4176 | 2020-10-02 |
| 1558630756 | Sams East Inc | Technician/Technologist | 215 Piedmont Pl, Danville, VA 24541-4176 | 2011-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303551 | Damon Lee Simpson | Occupational Therapy Assistant | 1616 Maple Dr, Danville, VA 24541 | 2018-07-27 |
| 1578065041 | Strategic Therapy Associates, Inc. | Transportation Broker | 1225 W Main Street, Danville, VA 24541 | 2018-03-01 |
| 1790291078 | Vicente T Falgui Md PC | Internal Medicine | 990 Main Street, Suite 204, Danville, VT 24541 | 2017-12-21 |
| 1558884270 | Focus Point Mental Health, LLC | Community/Behavioral Health | 116 Magnolia Drive, Danville, VA 24541 | 2017-07-25 |
| 1073045522 | Brittney Paige Throckmorton-samples | Physical Therapist | 174 Executive Drive, Danville, VA 24541 | 2017-04-03 |
| 1114378106 | Laurie Rich Taylor | Nurse Practitioner | 541 Bridge Street, Suite 1, Danville, VA 24541 | 2016-06-30 |
| 1285085779 | Larry Keller | Counselor | 1555 Meadowview Dr Ste 5, Danville, VA 24541 | 2016-06-25 |
| 1952617474 | Joshua Home Family Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 223 Randolph Street, Danville, VA 24541 | 2010-08-21 |
| 1922274661 | Blankenship & Davis Opticians Inc | Eyewear Supplier (Equipment, not the service) | 625 West Main Street, Danville, VA 24541 | 2008-05-02 |
| 1750588307 | Tiffany Devon Clark | Physical Therapy Assistant | 432 Hermitage Dr., Danville, VA 24541 | 2007-06-28 |
| Find all providers in zip 24541 | ||||
| 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 |
|---|---|---|---|---|
| 1215538046 | Nancy Ann Blue | Pharmacist | 4101 N Vermilion St, Danville, IL 61834-5997 | 2020-11-06 |
| 1679174981 | Sherry K Hardison | Pharmacist | Walmart, 515 Mount Cross Road, Danville, VA 24540 | 2020-11-03 |
| 1295333490 | Afrooz Nikoobakht | Pharmacist | 140 Abbey Rd, Danville, PA 17821-8423 | 2020-10-12 |
| 1467086413 | Larry Chan | Pharmacist | 3645 Deer Trail Dr, Danville, CA 94506-6021 | 2020-02-28 |
| 1639716905 | Rodney Vance Parker | Pharmacist | 309 E. 8th Street, Danville, AR 72834 | 2019-12-05 |
| 1437617412 | Marianne Nagui Anwar Iskandar | Pharmacist | 716 Westbrook Ct, Danville, CA 94506-1205 | 2019-03-08 |
| 1235601220 | Lisa Ann Olejnik | Pharmacist | 140 Continental Blvd, Danville, PA 17821-1089 | 2019-01-01 |
| 1295245710 | Heather Augustine | Pharmacist | 100 N Academy Ave # 42-01, Danville, PA 17822-9800 | 2017-10-11 |
| 1912428442 | Steven Sarwat Kheloussi | Pharmacist | 100 N Academy Ave # 38-87, Danville, PA 17822-9800 | 2017-07-06 |
| 1134666258 | Robert Verdina | Pharmacist | 10 Edinburgh Pl, Danville, CA 94526-2948 | 2017-01-26 |
| Find all providers in DANVILLE | ||||
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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.