MARY K WILSON (NPI# 1114148491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114148491 |
| Entity Type | Individual |
| Full Name | MARY K WILSON |
| Credential | PHARM.D. |
| Practice Address |
2305 W 123rd Ter Leawood KS 66209-1316 |
| Practice Telephone | 8165882215 |
| Mailing Telephone | 8165882215 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2013-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
03-2-25350 | OH | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
2008004871 | MO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152981 | Mary L Wilson | Technician | 2108 Camden Ave Ste A, Parkersburg, WV 26101-5676 | 2020-10-26 |
| 1699336222 | Mary Wilson | Counselor | 244 Washington Blvd Apt 3a, Oak Park, IL 60302-4147 | 2019-06-25 |
| 1730748906 | Mary Wilson | Registered Nurse | 1540 Lake Lansing Rd Ste G3, Lansing, MI 48912-3757 | 2019-06-11 |
| 1720580533 | Mary Ellen Wilson | Home Health Aide | 1219 Crystal St, Toledo, OH 43605-3806 | 2018-03-07 |
| 1386017283 | Mary Susan Wilson | Registered Nurse | 7175 Brills Lake Rd, Jackson, MI 49201-9691 | 2015-11-02 |
| 1831569755 | Mary Wilson | Social Worker | 915 Avenue B, Nederland, TX 77627-2902 | 2015-10-05 |
| 1376932707 | Mary Wilson | Case Manager/Care Coordinator | 119 Whispering Woods Ln, Alexandria, KY 41001-9226 | 2015-01-22 |
| 1144640087 | Mary Maningue Wilson | Home Health Aide | 9365 Steeple Ct, Laurel, MD 20723-5822 | 2014-04-18 |
| 1508176835 | Mary Lucinda Wilson | Counselor | 1536 Sunrise Plaza Dr Ste 100, Clermont, FL 34714-6204 | 2010-10-20 |
| 1538490776 | Mary Hayden Wilson | Counselor | 5828 Maria Del Mar St, Las Vegas, NV 89130-7299 | 2010-01-28 |
| Street Address |
2305 W 123RD TER |
| City | LEAWOOD |
| State | KS |
| Zip Code | 66209-1316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265900286 | Kansas Wellness Associates LLC | Family Medicine | 4300 W 133rd Street, Suite 200, Leawood, KS 66209 | 2018-11-07 |
| 1740781871 | Courtney Collins | Physical Therapy Assistant | 6830 W. 121st. Ct, Overland Park, KS 66209 | 2018-02-23 |
| 1295246015 | Meredith Meyer Bell | Nurse Practitioner | 5064 W 130th Terrace, Leawood, KS 66209 | 2017-10-19 |
| 1740712223 | Margaret Alice Luckert | Registered Nurse | 5701 W 119th Street Suite 220, Overland Park, KS 66209 | 2017-04-03 |
| 1609311133 | Kansas City Community Hospital, LLC | General Acute Care Hospital | 13200 State Line Road, Leawood, KS 66209 | 2016-12-19 |
| 1316492499 | Christy Vopat | Occupational Therapist | 4952 W. 129 Th Terr, Leawood, KS 66209 | 2016-08-18 |
| 1861846594 | Paige Aberasturi Penick | Nutritionist | 6709 W 119th St # 207, Overland Park, KS 66209 | 2016-04-19 |
| 1568827905 | Eating Disorder Treatment Associates, LLC | Clinic/Center | 12140 Nall Avenue, Suite 315, Overland Park, KS 66209 | 2015-12-30 |
| 1689056483 | Michael Hauber | Physical Therapist | 12728 State Line Rd, Leawood, KS 66209 | 2015-06-29 |
| 1033597000 | Brooke J Heppner Mft | Marriage & Family Therapist | 6711 W. 121st Street, Suite 101, Overland Park, KS 66209 | 2015-05-11 |
| Find all providers in zip 66209 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003439951 | Ronald Kevin Hahn | Pharmacist | 20041 W 220th Ter, Spring Hill, KS 66083-4048 | 2020-05-27 |
| 1710539200 | Silas Mogondo | Pharmacist | 9011 Renner Blvd Apt 2901, Lenexa, KS 66219-3027 | 2019-07-15 |
| 1629497284 | Edinburgh Enterprises LLC | Pharmacist | 11780 W 118th Ter, 118, Overland Park, KS 66210-2073 | 2014-04-10 |
| 1558795963 | Farhan Abdi | Pharmacist | 505 N Rock Rd, Apt#1308, Wichita, KS 67206-1743 | 2013-08-21 |
| 1093147563 | Danh Dinh | Pharmacist | 9911 E 21st St N Apt 308, Wichita, KS 67206-3523 | 2013-08-06 |
| 1649459629 | Christin Henrich | Pharmacist | 4502 W 78th Ter, Prairie Village, KS 66208-4362 | 2007-10-26 |
| 1669428652 | Jennifer L Gangel | Pharmacist | 8832 Marty St, Overland Park, KS 66212-2038 | 2006-05-25 |
| 1851356521 | Rene' Elaine Mitchell Geater | Pharmacist | Dwight D. Eisenhower Va Medical Center, 4101 S. 4th St. Trafficway, Leavenworth, KS 66048-7474 | 2006-04-18 |
| 1477523611 | Robert Haneke | Pharmacist | 31619 W Longview Rd, Sylvia, KS 67581-9275 | 2006-01-23 |
| 1780685289 | Melissa J Webb | Pharmacist | 24119 W 80th Pl, Lenexa, KS 66227-2202 | 2005-08-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARY K WILSON.
| 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.