ALYSON GIBSON WILDER (NPI# 1912343492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912343492 |
| Entity Type | Individual |
| Full Name | ALYSON GIBSON WILDER |
| Other Name | ALYSON WRAE GIBSON |
| Credential | PHARMD, BCPS |
| Practice Address |
13925 Fish Eagle Dr E Jacksonville FL 32226-5894 |
| Practice Telephone | 8036459272 |
| Mailing Telephone | 8036459272 |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2013-05-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
19295 | MD | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
12085 | SC | Pharmacy Service Providers |
| Street Address |
13925 FISH EAGLE DR E |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32226-5894 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909501 | A1 Staffing, Inc | Acupuncturist | 17982 North Main Street, Jacksonvile, FL 32226 | 2020-07-20 |
| 1518422294 | Brittany Fennell | Dentist | 13201 New Berlin Rd, Jacksonville, FL 32226 | 2019-02-06 |
| 1922554252 | Debra Richards | Custodial Care Facility | 14121 Devan Lee Dr W, Jacksonville, FL 32226 | 2016-08-28 |
| 1750672333 | Kristen Duffney | Behavioral Analyst | 12665 White Cedar Trail, Jacksonville, FL 32226 | 2011-04-29 |
| 1780782466 | Alisha Stanford | Dentist | 3118 New Berlin Road, Suite 1, Jacksonville, FL 32226 | 2006-09-20 |
| 1760454037 | Christopher B Scuderi | Family Medicine | 3122 New Berlin Road, Uf New Berlin Family Medicin Center, Jacksonville, FL 32226 | 2006-02-02 |
| 1902418262 | Hannah Lynn Skipper | Pharmacist | 12387 Yellow Bluff Rd, Jacksonville, FL 32226 | 2020-08-18 |
| 1720500093 | Hope and A Future Ministries Inc | Counselor | 7334 Berry Ave, Jacksonville, FL 32226 | 2017-07-08 |
| 1942743430 | Sarah Larrabee | Behavioral Analyst | 13815 Devan Lee Dr E, Jacksonville, FL 32226 | 2016-12-01 |
| 1447350988 | Kristan David Podvia | Dentist | 3118 New Berlin Road, Suite 1, Jacksonville, FL 32226 | 2006-09-24 |
| Find all providers in zip 32226 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235368473 | Dione Kisha Washington | Pharmacist | 10137 Lancashire Dr, Jacksonville, FL 32219-4367 | 2009-07-09 |
| 1659986529 | Henry Lee Simmons Jr. | Pharmacist | 2080 Child St, Jacksonville, FL 32214-5005 | 2020-09-09 |
| 1356954911 | Haleigh Diane Shelton | Pharmacist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2020-08-24 |
| 1649880097 | Meseret Tilahun Dabi | Pharmacist | 655 W 8th St # C-89, Jacksonville, FL 32209-6511 | 2020-07-31 |
| 1962040550 | Mara George | Pharmacist | 103 Gregory Pl, Jacksonville, AR 72076-3211 | 2019-12-15 |
| 1699326223 | Mariya Kotova | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2019-09-25 |
| 1386099406 | Tracy Nicole Coker Durrett | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2016-04-26 |
| 1831527878 | Lori Serrano Fiallo | Pharmacist | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2013-10-30 |
| 1588005680 | Lindsey Shea Tate | Pharmacist | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2013-07-17 |
| 1134563851 | Laura Benedict | Pharmacist | 655 West 8th Street, Shands Jacksonville Department of Pharmacy, Jacksonville, FL 32209 | 2013-04-24 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32226 |
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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.