MRS. MICHELLE DIANE WILCOX (NPI# 1992024822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992024822 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE DIANE WILCOX |
| Other Name | MISS MICHELLE DIANE SACKS |
| Credential | PHARMD |
| Practice Address |
1703 W Main St Lebanon TN 37087-3193 |
| Mailing Address |
714 Greenfield Ln Castalian Springs TN 37031-4741 |
| Practice Telephone | 6154443576 |
| Mailing Telephone | 7277093171 |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2013-07-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 37236 | TN | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PS45445 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679855571 | Michelle M Wilcox | Specialist | 9370 Westchester Dr, Laingsburg, MI 48848-9285 | 2011-09-15 |
| 1114162526 | Michelle Wilcox | Pharmacist | 884 Allbritton Blvd, Mount Pleasant, SC 29464-3092 | 2008-12-15 |
| 1134197940 | Michelle Christine Wilcox | Counselor | 940 E South Union Ave, Midvale, UT 84047-2302 | 2006-03-08 |
| 1689162075 | Michelle M Wilcox | Nurse Practitioner | 5944 Colerain Ave, Cincinnati, OH 45239-6414 | 2018-05-01 |
| 1932500063 | Michelle Wilcox | Pharmacist | 151 E Main St, Dover Foxcroft, ME 04426-1304 | 2014-09-08 |
| 1205193257 | Michelle Wilcox | Physical Therapy Assistant | 101 E State St, Kennett Square, PA 19348-3109 | 2012-04-16 |
| Street Address |
1703 W MAIN ST |
| City | LEBANON |
| State | TN |
| Zip Code | 37087-3193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710185327 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 1703 W Main St, Lebanon, TN 37087-3193 | 2007-07-05 |
| 1790023976 | Trang Khanh Nguyen | Pharmacist | 1703 W Main St, Lebanon, TN 37087-3193 | 2013-01-23 |
| 1609145879 | Jason A Hicks | Pharmacist | 1703 W Main St, Lebanon, TN 37087-3193 | 2011-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
| 1306405725 | Angela Kurtz | Hearing Instrument Specialist | 1430 West Baddour Parkwayste D, Lebanon, TN 37087 | 2019-06-10 |
| 1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
| 1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
| 1326409285 | Karina Lawrence | Speech-Language Pathologist | 1006 Keaton Street, Lebanon, TN 37087 | 2016-03-18 |
| 1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
| 1043614829 | Jean Thompson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 | 2014-10-22 |
| 1588072771 | La Keisha Fair | Community Health Worker | 1 Cumberland Square, Lebanon, TN 37087 | 2014-07-31 |
| 1023440609 | James Martin Meadows | Specialist/Technologist | One Cumberland Square, Lebanon, TN 37087 | 2013-08-06 |
| 1336571231 | Lori Ann De Leo | Social Worker | 109 Autumn Creek, Lebanon, TN 37087 | 2013-08-01 |
| Find all providers in zip 37087 | ||||
| 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 |
|---|---|---|---|---|
| 1114541174 | Nextdoor Drug | Pharmacist | 932 W Main St, Lebanon, VA 24266 | 2020-06-04 |
| 1265063507 | Melyssia Marzerka | Pharmacist | 85 Mechanic St Ste C3-3, Lebanon, NH 03766-1537 | 2020-01-27 |
| 1831745439 | Amanda B Elkins | Pharmacist | 75 Oak Lawn Cir, Lebanon, VA 24266-6600 | 2019-08-11 |
| 1033560156 | Dianne L Gianakos | Pharmacist | 16 Chrystal Dr, Lebanon, NJ 08833-3245 | 2016-06-30 |
| 1083064836 | Charles Roberts II | Pharmacist | 597 Donald C. Moore Drive, Lebanon, VA 24266 | 2016-06-13 |
| 1003289588 | Hong Ngoc Nguyen | Pharmacist | 675 N Fifth Street, Lebanon, OR 97355 | 2015-11-05 |
| 1386014124 | Ashley Sanders | Pharmacist | 101 Woodland Dr, Lebanon, VA 24266-5366 | 2015-10-06 |
| 1962879676 | April Ballentine | Pharmacist | 19 North Mechanic St, Lebanon, OH 45036 | 2015-08-28 |
| 1982088985 | Troy Alan Miller | Pharmacist | 12 Centerra Pkwy Ste 10, Lebanon, NH 03766-1411 | 2015-07-20 |
| 1457782237 | Sandra Empey | Pharmacist | 363 Philadelphia Rd, Lebanon, TN 37087-8108 | 2013-12-04 |
| Find all providers in LEBANON | ||||
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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.