AMANDA J. WILBURN (NPI# 1043454069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043454069 |
| Entity Type | Individual |
| Full Name | AMANDA J. WILBURN |
| Credential | PHARM.D., CDE |
| Practice Address |
2049 E Shiloh Rd Corinth MS 38834-3726 |
| Mailing Address |
18 County Road 470 Corinth MS 38834-6862 |
| Practice Telephone | 6622866914 |
| Practice Fax Number | 6622865533 |
| Mailing Telephone | 6622230300 |
| Mailing Fax Number | 6622865533 |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2009-04-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | E-09695 | MS | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659394 | Amanda Lynn Wilburn | Registered Nurse | 5504 Plantersville Pl, Myrtle Beach, SC 29579-3671 | 2020-04-30 |
| 1568943843 | Amanda Lauren Wilburn | Occupational Therapy Assistant | 123 Lowell St, San Antonio, TX 78210-2830 | 2018-08-24 |
| 1326452657 | Amanda Wilburn | Registered Nurse | 845 43rd St, Brooklyn, NY 11232-4166 | 2014-06-14 |
| Street Address |
2049 E SHILOH RD |
| City | CORINTH |
| State | MS |
| Zip Code | 38834-3726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306923271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2049 E Shiloh Rd, Corinth, MS 38834-3726 | 2006-10-31 |
| 1932750049 | Brieanna Holmes | Pharmacist | 2049 E Shiloh Rd, Corinth, MS 38834-3726 | 2019-09-20 |
| 1487207270 | Dylan Rider | Pharmacist | 2049 E Shiloh Rd, Corinth, MS 38834-3726 | 2019-07-20 |
| 1396259966 | Shiloh Apothecary | Pharmacy | 2049 E Shiloh Rd, Corinth, MS 38834-3726 | 2017-11-19 |
| 1912171208 | Super D Drugs Acquisition Co, Inc. | Durable Medical Equipment & Medical Supplies | 2049 E Shiloh Rd, Corinth, MS 38834-3726 | 2008-04-17 |
| 1164643425 | Tedric Hight | Pharmacist | 2049 E Shiloh Rd, Corinth, MS 38834-3726 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1962046680 | Wanda Lee Kilpatrick | Technician | 1206 Breckenridge St., Corinth, MS 38834 | 2019-11-06 |
| 1215595756 | Alanna Nunez Heflin | Dentist | 3127 E Shiloh Rd, Corinth, MS 38834 | 2019-05-30 |
| 1629530795 | A Port In The Storm (apits) | Clinic/Center | 102 N. Cass Street, Suite B, Corinth, MS 38834 | 2019-04-05 |
| 1538654199 | Jerry Wayne Latch | Durable Medical Equipment & Medical Supplies | 206 N Fillmore St, Corinth, MS 38834 | 2018-06-26 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| 1164938650 | Pediatric Dentistry of Corinth | Dentist | 1500 N Harper Rd #5, Pediatric Dentistry of Corinth, Corinth, MS 38834 | 2017-12-19 |
| 1467964536 | King Speech-language Therapy, LLC | Speech-Language Pathologist | 2203 Hwy 72 East, Corinth, MS 38834 | 2017-10-30 |
| 1841669728 | Glenda Gatlin | Social Worker | 14 Cr 305, Corinth, MS 38834 | 2015-09-21 |
| 1649646555 | Amanda Word | Social Worker | 303 North Madison Street, Corinth, MS 38834 | 2015-08-14 |
| Find all providers in zip 38834 | ||||
| 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 |
|---|---|---|---|---|
| 1598162422 | Tony Pressly | Pharmacist | 2902 Sioux Ct, Corinth, TX 76210-3150 | 2014-11-20 |
| 1467633883 | Lori J Mosher | Pharmacist | 1 Palmer Ave, Corinth, NY 12822-1121 | 2007-11-14 |
| 1538378021 | Camille Borroum Mitchell | Pharmacist | 604 E Waldron St, Corinth, MS 38834-4863 | 2007-05-21 |
| 1326035528 | Rick W Quinn | Pharmacist | 111 Alcorn Dr, Corinth, MS 38834-9359 | 2005-10-03 |
| 1548255748 | Gunn Drug Co Inc. | Pharmacist | 1815 E Shiloh Rd, Corinth, MS 38834-3638 | 2005-09-13 |
| 1376144923 | Lindsay Bishop | Pharmacist | 2301 S Harper Rd, Corinth, MS 38834-6771 | 2020-11-02 |
| 1497355713 | Britney Jean Brown | Pharmacist | 2301 S Harper Rd, Corinth, MS 38834-6771 | 2020-10-27 |
| 1174123673 | Chelsey Brooke Bobo | Pharmacist | 2301 S Harper Rd, Corinth, MS 38834-6771 | 2020-10-26 |
| 1932750049 | Brieanna Holmes | Pharmacist | 2049 E Shiloh Rd, Corinth, MS 38834-3726 | 2019-09-20 |
| 1487207270 | Dylan Rider | Pharmacist | 2049 E Shiloh Rd, Corinth, MS 38834-3726 | 2019-07-20 |
| Find all providers in CORINTH | ||||
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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.