STEPHANIE WILLS (NPI# 1811425465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811425465 |
| Entity Type | Individual |
| Full Name | STEPHANIE WILLS |
| Credential | PHARMD |
| Practice Address |
5685 Balboa Ave San Diego CA 92111-2705 |
| Practice Telephone | (858) 279-2860 |
| Mailing Telephone | 8582792860 |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2017-05-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
62057 | CA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609410588 | Stephanie Nicole Wills | Pharmacist | 14344 Spring Hill Dr, Spring Hill, FL 34609-8101 | 2019-11-04 |
| 1962955021 | Stephanie Wills | Nurse Practitioner | 21 Grand St, Hartford, CT 06106-1541 | 2016-07-25 |
| 1083024046 | Stephanie Wills | Counselor | 905 Nw 4th St, Stigler, OK 74462-1652 | 2014-04-30 |
| Street Address |
5685 BALBOA AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92111-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063454882 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 5685 Balboa Ave, San Diego, CA 92111-2705 | 2006-06-13 |
| 1003441080 | Jane Ye-eun Kim | Pharmacist | 5685 Balboa Ave, San Diego, CA 92111-2705 | 2020-03-10 |
| 1760016448 | Amy Le | Pharmacist | 5685 Balboa Ave, San Diego, CA 92111-2705 | 2020-03-02 |
| 1255979860 | Dasol Gloria Yoon | Pharmacist | 5685 Balboa Ave, San Diego, CA 92111-2705 | 2019-12-13 |
| 1497213466 | James Junsuk Lee | Pharmacist | 5685 Balboa Ave, San Diego, CA 92111-2705 | 2019-03-07 |
| 1881113637 | Megan Grigas | Pharmacist | 5685 Balboa Ave, San Diego, CA 92111-2705 | 2017-09-13 |
| 1295260792 | James Gonzalez | Pharmacist | 5685 Balboa Ave, San Diego, CA 92111-2705 | 2017-04-22 |
| 1659812543 | Jennifer Dang | Pharmacist | 5685 Balboa Ave, San Diego, CA 92111-2705 | 2017-03-13 |
| 1932507068 | Dawn Metrisin | Pharmacist | 5685 Balboa Ave, San Diego, CA 92111-2705 | 2014-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
| 1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
| 1154944551 | Mei Ling Milan Szeto | Student in an Organized Health Care Education/Training Program | 7917 Ostrow Street, Suite A, San Diego, CA 92111 | 2020-05-20 |
| 1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
| 1295204394 | Demetria Serfas | Behavioral Analyst | 563 Balboa Ave #521, San Diego, CA 92111 | 2018-11-19 |
| 1568981678 | Ross Psychology | Psychologist | 4883 Ronson Court, Suite K, San Diego, CA 92111 | 2017-09-11 |
| 1225554587 | Bianca Acosta | Technician, Other | 563 Balboa Ave. #521, San Diego, CA 92111 | 2017-08-18 |
| 1194240085 | Kazuhiro Kato | Dentist | 3707 Convoy St., San Diego, CA 92111 | 2017-08-11 |
| 1073038527 | Joanne Epps-yentz | Licensed Vocational Nurse | 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 | 2017-08-06 |
| 1184158446 | Positive Behavior Supports Corp | Community/Behavioral Health | 563 Balboa Ave, 521, San Diego, CA 92111 | 2017-04-13 |
| Find all providers in zip 92111 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689987 | Capsule San Diego LLC | Pharmacy | 1450 Columbia St Ste B, San Diego, CA 92101-3487 | 2020-11-04 |
| 1710520960 | Art Fertility LLC | Pharmacy | 11568 Sorrento Valley Rd Ste 12, San Diego, CA 92121-1313 | 2019-10-21 |
| 1043782022 | Med Specialty Sai Inc | Pharmacy | 4153 University Ave Ste B, San Diego, CA 92105-1421 | 2019-01-01 |
| 1184139834 | Eldahmy Wellness Pharmacy Inc. | Pharmacy | 1985 National Ave Ste 1103, San Diego, CA 92113-2155 | 2017-12-04 |
| 1154835973 | Majestic Pharmacy Inc | Pharmacy | 7283 Engineer Rd Ste D, San Diego, CA 92111-1414 | 2017-12-01 |
| 1730634098 | Med Specialty Sai Inc. | Pharmacy | 4153 University Avenue, Suite B, San Diego, CA 92105 | 2016-08-16 |
| 1043675366 | Tu-uyen Le | Pharmacy | 3081-b Clairemont Drive, San Diego, CA 92117 | 2015-12-31 |
| 1285003442 | Walgreens | Pharmacy | 7937 Hendricks Dr, San Diego, CA 92126-3538 | 2015-09-17 |
| 1376933820 | Walgreen Co | Pharmacy | 602 Euclid Ave, San Diego, CA 92114-2207 | 2015-02-04 |
| 1639567605 | Wellnessrx Pharmacy Corporation | Pharmacy | 5971 University Ave, Suite 304, San Diego, CA 92115-6335 | 2014-12-29 |
| Find all providers in SAN DIEGO | ||||
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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.