AMANDA C WILSON (NPI# 1962055053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962055053 |
| Entity Type | Individual |
| Full Name | AMANDA C WILSON |
| Credential | RPH |
| Practice Address |
113 Bo Bo Dr Crystal Springs MS 39059-2741 |
| Mailing Address |
1009 Kern Ln Crystal Springs MS 39059-8765 |
| Practice Telephone | 6018924121 |
| Mailing Telephone | 6019067887 |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | T-08901 | MS | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002883 | Amanda L Wilson | Registered Nurse | 17444 Q Dr N, Marshall, MI 49068-9418 | 2020-08-04 |
| 1932748217 | Amanda R Wilson | Homemaker | 312 Flint St, Haines City, FL 33844-8219 | 2020-01-03 |
| 1861043119 | Amanda L Wilson | Social Worker | 3034 St Armand Rd, Swanton, VT 05488-8737 | 2019-09-26 |
| 1124679899 | Amanda Wilson | Counselor | 3707 Main St # 5, College Park, GA 30337-3544 | 2019-09-24 |
| 1558838052 | Amanda Renee Wilson | Social Worker | 2118 Adams Overlook Nw, Atlanta, GA 30318 | 2018-11-01 |
| 1518476316 | Amanda Jo Wilson | Case Manager/Care Coordinator | 1106 W 2nd St, Coffeyville, KS 67337-3816 | 2017-09-25 |
| 1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
| 1306392238 | Amanda Wilson | Dentist | 2134 State Route 208, Montgomery, NY 12549-2613 | 2016-08-31 |
| 1285083683 | Amanda Wilson | Community Health Worker | 124 Akhiok Street, Akhiok, AK 99615 | 2016-06-07 |
| 1265887608 | Amanda Wilson | Speech-Language Pathologist | 4031 San Fernando Ln, Saint Charles, MO 63304-2831 | 2016-05-03 |
| Street Address |
113 BO BO DR |
| City | CRYSTAL SPRINGS |
| State | MS |
| Zip Code | 39059-2741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205802980 | City Drugs of Crystal Springs, Inc. | Pharmacy | 113 Bo Bo Dr, Crystal Springs, MS 39059-2741 | 2006-02-23 |
| 1437614351 | Tyler Lee Hendrix | Pharmacist | 113 Bo Bo Dr, Crystal Springs, MS 39059-2741 | 2019-02-05 |
| 1003371196 | Henry L Mcguire | Pharmacist | 113 Bo Bo Dr, Crystal Springs, MS 39059-2741 | 2019-02-04 |
| 1902361074 | William T Walker | Pharmacist | 113 Bo Bo Dr, Crystal Springs, MS 39059-2741 | 2019-02-04 |
| 1295299501 | Reagan Brown | Pharmacist | 113 Bo Bo Dr, Crystal Springs, MS 39059-2741 | 2019-01-31 |
| 1225504269 | City Drug, LLC | Durable Medical Equipment & Medical Supplies | 113 Bo Bo Dr, Crystal Springs, MS 39059-2741 | 2018-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003375411 | Neuro Rehabcare-tass | Rehabilitation Unit | 512 Harmony Road, Crystal Springs, MS 39059 | 2019-03-15 |
| 1447510581 | Baptist Jackson Heart Cardiology Clinic-crystal Springs | Internal Medicine | 123 Bobo Drive, Crystal Springs, MS 39059 | 2012-05-23 |
| 1134438757 | William Robert Myers | Pharmacist | 25096 Highway 51, Fred's Pharmacy # 1489, Crystal Springs, MS 39059 | 2010-09-30 |
| 1679770507 | Lucas Nathaniel Watson | Social Worker | 34132 Hwy 28 East, Crystal Springs, MS 39059 | 2007-07-03 |
| 1699818948 | Jerry Babb Gulledge | Family Medicine | 408 East Railroad Avenue North, Crystal Springs, MS 39059 | 2007-02-15 |
| 1306903844 | Onous J Wells Jr. | Dentist | 304 Harmony Road, Crystal Springs, MS 39059 | 2007-01-03 |
| 1073608881 | Melanie B Austin | Occupational Therapist | 104 West Railroad Ave. North, Crystal Springs, MS 39059 | 2006-10-04 |
| 1972603819 | Copiah Medical Associates, LLP | Family Medicine | 123 Bobo Dirve, Crystal Springs, MS 39059 | 2006-09-22 |
| 1467554378 | Albert J. Singletary, Inc | Dentist | 707 West Georgetown St., Crystal Springs, MS 39059 | 2006-09-01 |
| 1225004948 | Cds Home Care, Inc | Durable Medical Equipment & Medical Supplies | 119 Bobo Dr, Crystal Springs, MS 39059 | 2006-02-23 |
| Find all providers in zip 39059 | ||||
| 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 |
|---|---|---|---|---|
| 1134438757 | William Robert Myers | Pharmacist | 25096 Highway 51, Fred's Pharmacy # 1489, Crystal Springs, MS 39059 | 2010-09-30 |
| 1548229867 | Thomas Edward Spell Jr. | Pharmacist | 101 E Georgetown St, Crystal Springs, MS 39059-2777 | 2006-03-23 |
| 1437614351 | Tyler Lee Hendrix | Pharmacist | 113 Bo Bo Dr, Crystal Springs, MS 39059-2741 | 2019-02-05 |
| 1003371196 | Henry L Mcguire | Pharmacist | 113 Bo Bo Dr, Crystal Springs, MS 39059-2741 | 2019-02-04 |
| 1902361074 | William T Walker | Pharmacist | 113 Bo Bo Dr, Crystal Springs, MS 39059-2741 | 2019-02-04 |
| 1295299501 | Reagan Brown | Pharmacist | 113 Bo Bo Dr, Crystal Springs, MS 39059-2741 | 2019-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043192 | Craig Stephen Andreas Jr. | Pharmacist | 2230 Thousand Oaks Dr, Hernando, MS 38632-6622 | 2020-11-06 |
| 1285235333 | Ann Elizabeth Sutherland | Pharmacist | 9038 Coatbridge Dr, Oxford, MS 38655-7396 | 2020-11-05 |
| 1700487907 | Nancy Heyer Miles | Pharmacist | 5509 Highway 45 Alt S, West Point, MS 39773-0413 | 2020-11-04 |
| 1124628102 | Betsy Wicker Lindsey | Pharmacist | 1608 Smithdale Rd, Mccomb, MS 39648-2064 | 2020-10-28 |
| 1174123566 | Lisa Kincaid Odom | Pharmacist | 218 Woodland Hills Dr, Oxford, MS 38655-9770 | 2020-10-27 |
| 1427657592 | Bradford Keith Goodwin | Pharmacist | 225 Hwy 30 W, New Albany, MS 38652 | 2020-10-20 |
| 1225637424 | Milagros H. Walker | Pharmacist | 2119 Lindhridge Dr, Gulfport, MS 39507-3765 | 2020-10-20 |
| 1629684253 | Kristen Sellers Webb | Pharmacist | 12356 Highway 15 S, Louisville, MS 39339-3700 | 2020-09-18 |
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1063023950 | Rianne Marie Jones | Pharmacist | 10252 Woodlands Dr, Biloxi, MS 39532-9518 | 2020-08-13 |
| Find all providers with the same taxonomy | ||||
| City | CRYSTAL SPRINGS |
| Zip Code | 39059 |
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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.