CARL WALLILA (NPI# 1861832388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861832388 |
| Entity Type | Individual |
| Full Name | CARL WALLILA |
| Practice Address |
307 Se 4th St Laurel MT 59044-3324 |
| Practice Telephone | 4066288746 |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2571 | MT | Pharmacy Service Providers |
| Street Address |
307 SE 4TH ST |
| City | LAUREL |
| State | MT |
| Zip Code | 59044-3324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265602502 | Montana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 307 Se 4th St, Laurel, MT 59044-3324 | 2008-03-03 |
| 1811517204 | Aleesha Porter | Pharmacist | 307 Se 4th St, Laurel, MT 59044-3324 | 2020-04-26 |
| 1720531445 | Cvs | Pharmacy | 307 Se 4th St, Laurel, MT 59044-3324 | 2016-07-29 |
| 1073953998 | Jeannette Mickelson | Pharmacist | 307 Se 4th St, Laurel, MT 59044-3324 | 2013-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477171270 | Marji Cunningham | Nurse Practitioner | 1403 Hill Crest Ave, N/a, Laurel, MT 59044 | 2020-07-08 |
| 1104992908 | Robert Bruce Vannice | Family Medicine | 319 1st Ave, Laurel, MT 59044 | 2006-11-27 |
| 1376638304 | Sam R Pollock | Dentist | 15 Montana Ave, Laurel, MT 59044 | 2006-10-04 |
| 1932623923 | Timothy Polacheck | Pharmacist | 101 Bernhardt Rd, Laurel, MT 59044 | 2017-08-01 |
| 1700997608 | Jody Lynn Crowl | Dentist | 113 W Main St, Laurel, MT 59044 | 2006-08-31 |
| 1659389500 | Maurer Chiropractic PC | Chiropractor | 113 E Main St, Laurel, MT 59044 | 2006-08-04 |
| 1104152982 | Janeil E Anderson | Counselor | 1000 Rockfork Cir, Laurel, MT 59044-1848 | 2009-10-28 |
| 1245890201 | Angie Mitchell | Home Health | 714 7th Ave, Laurel, MT 59044-1922 | 2019-06-20 |
| 1912225061 | Carla A. Castro | Counselor | 918 2nd Ave, Laurel, MT 59044-2017 | 2010-05-13 |
| 1750339149 | Evergreen At Laurel, L.L.C. | Skilled Nursing Facility | 820 3rd Ave, Laurel, MT 59044-2023 | 2006-05-05 |
| Find all providers in zip 59044 | ||||
| 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 |
|---|---|---|---|---|
| 1295336618 | Rupesh Sheth | Pharmacist | Sams's Club, 3535 Russett Green E, Laurel, MD 20724 | 2020-11-03 |
| 1518574813 | Sharareh Khanjani | Pharmacist | 3535 Russett Grn E, Laurel, MD 20724-1810 | 2020-09-30 |
| 1891307161 | Rudolf Achiri | Pharmacist | 515 Main St Ste 211, Laurel, MD 20707-4117 | 2020-08-18 |
| 1205444908 | Nazia R Khan | Pharmacist | 3611 Chase Hills Dr, Laurel, MD 20724-1925 | 2020-07-19 |
| 1013525252 | Adesoji Babatunde Adelakun | Pharmacist | 922 5th St, Laurel, MD 20707-5106 | 2020-07-14 |
| 1952928442 | Solomon Tesfatsion | Pharmacist | 7350 Van Dusen Rd # 101, Laurel, MD 20707-5263 | 2020-06-30 |
| 1740777697 | Jeen Min | Pharmacist | 9423 Fens Holw, Laurel, MD 20723-5731 | 2018-04-17 |
| 1265958367 | Lanre Abayomi | Pharmacist | 12906 N Point Ln, Laurel, MD 20708-2344 | 2017-08-21 |
| 1477009744 | Anya Kalu Uzoh | Pharmacist | 3048 Shoreline Blvd, Laurel, MD 20724-1970 | 2016-08-28 |
| 1659754570 | Amber Guinn | Pharmacist | 725 Sawmill Rd, Laurel, MS 39440-3971 | 2015-07-09 |
| Find all providers in LAUREL | ||||
Please comment or provide details below to improve the information on CARL WALLILA.
| 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.