PAMELA R. WILSON (NPI# 1790830396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790830396 |
| Entity Type | Individual |
| Full Name | PAMELA R. WILSON |
| Practice Address |
402 Main St Stockton KS 67669-1930 |
| Mailing Address |
1630 Highway 183 Stockton KS 67669-8863 |
| Practice Telephone | 7854257172 |
| Practice Fax Number | 7554256611 |
| Mailing Telephone | 7854257257 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 14-00126 | KS | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | PHARM. TECH STATE LICENSE | 14-00126 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289886 | Pamela S Wilson | Technician | 1311 Peppermint Creek Rd, Given, WV 25245-8155 | 2020-09-14 |
| 1881155075 | Pamela Wilson | Behavior Technician | 6 Westside Dr, Phenix City, AL 36869-6015 | 2019-03-29 |
| 1184199432 | Pamela Adrienne Wilson | Rehabilitation Counselor | 350 S. Irwin Road, Holland, OH 43528 | 2018-10-12 |
| 1811484025 | Pamela Darlene Wilson | Massage Therapist | 119 Narain Ct, Oregon City, OR 97045-3624 | 2018-04-13 |
| 1144656455 | Pamela C. Wilson | Counselor | 2809 Great Northern Loop Ste 210-5, Missoula, MT 59808-1749 | 2013-09-18 |
| 1235499799 | Pamela Wilson | Occupational Therapist | 6500 N Cosby Ave, Kansas City, MO 64151-3962 | 2012-05-17 |
| 1003112186 | Pamela G Wilson | Contractor | 14004 Se 202nd St, Kent, WA 98042-3017 | 2011-02-07 |
| 1033389473 | Pamela Aird Wilson | Internal Medicine | 6001 Galley Ct, Madison, WI 53705-4429 | 2008-02-29 |
| 1245351519 | Pamela Lynn Wilson | Massage Therapist | 8712 Vineyard Ridge Rd Ne, Albuquerque, NM 87122-2624 | 2007-04-03 |
| 1336168228 | Pamela L Wilson | Neuromusculoskeletal Medicine & OMM | 905 N Flood Ave, Norman, OK 73069-7641 | 2006-07-19 |
| Street Address |
402 MAIN ST |
| City | STOCKTON |
| State | KS |
| Zip Code | 67669-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508922162 | Rodney Kent Hahn | Pharmacist | 402 Main St, Stockton, KS 67669-1930 | 2006-12-28 |
| 1609971670 | Stockton Pharmacy, Inc. | Pharmacy | 402 Main St, Stockton, KS 67669-1930 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013993021 | Morris Clayton Talbert | Dentist | 624 S 1st, Stockton, KS 67669 | 2005-12-21 |
| 1134542533 | Loral Lee Portenier | Counselor | 620 N Cedar St, Stockton, KS 67669-1326 | 2014-01-22 |
| 1720089774 | Northwest Kansas Physical Therapy, LLC | Physical Therapist | 421 Main St, Stockton, KS 67669-1929 | 2005-08-02 |
| 1588997126 | Usd # 271 | Local Education Agency (LEA) | 421 Main St, Stockton, KS 67669-1929 | 2009-09-15 |
| 1255333241 | County of Rooks | Home Health | 426 Main St, Stockton, KS 67669-1930 | 2005-08-10 |
| 1699143339 | Lori Eichman | Registered Nurse | 426 Main St, Stockton, KS 67669-1930 | 2015-09-11 |
| 1689007114 | Lorraine Baughman | Registered Nurse | 426 Main St, Stockton, KS 67669-1930 | 2013-08-20 |
| 1659373264 | County of Rooks | Public Health or Welfare | 426 Main St, Stockton, KS 67669-1930 | 2005-08-12 |
| 1194094292 | Phillipsburg Chiropractic Center, Pa | Chiropractor | 504 Main St, Stockton, KS 67669-1932 | 2011-12-19 |
| 1508841552 | Rooks County Medical Associates Pa | Clinic/Center | 623 S 2nd St, Stockton, KS 67669-1966 | 2005-12-13 |
| Find all providers in zip 67669 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891017356 | Debbie Lynn Haines | Pharmacy Technician | 19 Public Square, Stockton, MO 65785 | 2010-02-24 |
| 1144883653 | Reyna Orellana | Pharmacy Technician | 1212 N California St, Stockton, CA 95202 | 2019-04-19 |
| 1073042198 | Maricella Buitron | Pharmacy Technician | 1212 N California St, Stockton, CA 95202-1552 | 2017-06-12 |
| 1265961395 | Tatia V Valdez | Pharmacy Technician | 1212 N California St, Stockton, CA 95202-1552 | 2017-06-12 |
| 1568991685 | Christian S Angeles | Pharmacy Technician | 1212 N California St, Stockton, CA 95202-1552 | 2017-06-12 |
| 1225585862 | Adrian Gudino | Pharmacy Technician | 5151 Pacific Ave, Stockton, CA 95207-6304 | 2016-09-01 |
| 1245611466 | James Padua Sr. | Pharmacy Technician | 1212 N California St, Stockton, CA 95202-1552 | 2015-06-12 |
| 1326312679 | Jill Jacoy | Pharmacy Technician | 1212 N California St, Stockton, CA 95202-1552 | 2012-03-05 |
| 1376865865 | Katherine Marie Hicks | Pharmacy Technician | 19 Public Square, Stockton, MO 65785 | 2010-02-24 |
| 1306173901 | Marcy Nicole Hironymous | Pharmacy Technician | 1212 N California St, Stockton, CA 95202-1552 | 2009-11-03 |
| Find all providers in STOCKTON | ||||
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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.