KEVIN ROBERT WILSON (NPI# 1134750748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134750748 |
| Entity Type | Individual |
| Full Name | KEVIN ROBERT WILSON |
| Credential | DOCTOR OF PHARMACY |
| Practice Address |
4995 Highland Rd Waterford MI 48328-1143 |
| Practice Telephone | 2486742261 |
| Mailing Telephone | 2486742261 |
| Mailing Fax Number | 2486741027 |
| Enumeration Date | 2020-02-01 |
| Last Update Date | 2020-02-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5315098302 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033749031 | Kevin H Wilson | Social Worker | 30938 W Mitchell Dr, Buckeye, AZ 85396-6813 | 2020-01-19 |
| 1427548833 | Kevin Wilson | Dentist | 2034 Sturbridge Dr Apt B2, Columbus, OH 43209-4424 | 2018-05-11 |
| 1073037008 | Kevin M Wilson | Durable Medical Equipment & Medical Supplies | 2547 W Augusta Blvd # 4, Chicago, IL 60622-4561 | 2017-08-01 |
| 1275874356 | Kevin Jerome Wilson | Counselor | 970 E. 126th Terrace, Olathe, KS 66061 | 2013-03-14 |
| 1386965812 | Kevin Ford Wilson | Military Health Care Provider | 1 Wahoo Ave # 600, Groton, CT 06349-2324 | 2010-06-18 |
| 1437488749 | Kevin Poul Wilson | Counselor | 1819 N Dover St, Independence, MO 64058-1231 | 2009-12-15 |
| 1932368545 | Kevin Wilson | Physician Assistant | 1015 E 15th St, Plano, TX 75074-6221 | 2008-06-09 |
| 1073787776 | Kevin David Wilson | Family Medicine | 3801 N Mccoll Rd Apt 617, Mcallen, TX 78501-9141 | 2008-04-15 |
| 1649293531 | Kevin Drew Wilson | Dentist | 154 Elm St, Milford, NH 03055-4759 | 2006-07-25 |
| 1104890128 | Kevin David Wilson | Physical Therapist | 2835 Miami Village Dr, Miamisburg, OH 45342-4587 | 2006-02-15 |
| Street Address |
4995 HIGHLAND RD |
| City | WATERFORD |
| State | MI |
| Zip Code | 48328-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629088802 | Goranka Anne Vucenovic | Nurse Practitioner | 4995 Highland Rd, Waterford, MI 48328-1143 | 2006-08-09 |
| 1174154769 | Abhijit Vitthal Purohit | Pharmacist | 4995 Highland Rd, Waterford, MI 48328-1143 | 2020-02-01 |
| 1790316354 | Dyana Kotani | Pharmacist | 4995 Highland Rd, Waterford, MI 48328-1143 | 2020-01-31 |
| 1053942037 | Tony Hung | Pharmacist | 4995 Highland Rd, Waterford, MI 48328-1143 | 2020-01-29 |
| 1194141457 | Margaret Eugenia Haglund | Registered Nurse | 4995 Highland Rd, Waterford, MI 48328-1143 | 2014-03-11 |
| 1629412309 | Jessica Goeth | Nurse Practitioner | 4995 Highland Rd, Waterford, MI 48328-1143 | 2013-04-24 |
| 1487749578 | Denise J Neubauer | Nurse Practitioner | 4995 Highland Rd, Waterford, MI 48328-1143 | 2006-10-04 |
| 1881706711 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 4995 Highland Rd, Waterford, MI 48328-1143 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1437631850 | Rana Ismail | Pharmacist | 3273 West Huron St, Waterford, MI 48328 | 2018-09-01 |
| 1588181978 | India Dunlap | Social Worker | 279 Summit Dr., Waterford, MI 48328 | 2017-08-25 |
| 1689191280 | Sydney Strandberg | Social Worker | 1145 Parkway, Waterford, MI 48328 | 2017-08-24 |
| 1467982074 | Briana Greenlee | Dietitian, Registered | 3819 Faber Terrace, Waterford, MI 48328 | 2017-06-15 |
| 1922537364 | Lourdes Alzheimer's Special Care | Custodial Care Facility | 2400 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1013446459 | Lourdes Assisted Living | Assisted Living Facility | 2450 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1588019053 | Legacy Dermatology Group PC | Dermatology | 1392 S Cass Lake Rd, Waterford, MI 48328 | 2016-05-03 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| Find all providers in zip 48328 | ||||
| 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 |
|---|---|---|---|---|
| 1437631850 | Rana Ismail | Pharmacist | 3273 West Huron St, Waterford, MI 48328 | 2018-09-01 |
| 1982115697 | Neil Mehta | Pharmacist | 4000 Highland Rd Ste 113, Waterford, MI 48328-2163 | 2017-10-20 |
| 1306363957 | David Powell | Pharmacist | 279 Summit Dr # 200, Waterford, MI 48328-3364 | 2017-08-24 |
| 1750765798 | Shatha Matti | Pharmacist | 7362 Highland Road, Waterford, MI 48327 | 2015-07-18 |
| 1871905646 | Howard Kramer | Pharmacist | 7840 Academy Ct E, Waterford, MI 48329-4631 | 2014-05-28 |
| 1780942086 | Danielle M Baldwin | Pharmacist | 37 Clifton St, Waterford, NY 12188-2625 | 2012-04-25 |
| 1013285089 | Neil L Bluestone | Pharmacist | 4400 Highland Rd # M-59, Waterford, MI 48328-1222 | 2011-12-06 |
| 1700160660 | Warren B Rogers Jr. | Pharmacist | 303 Millstone Rd East, Waterford, CT 06385-3225 | 2011-10-10 |
| 1821372400 | John Carfi | Pharmacist | 5 Whaling Dr, Waterford, CT 06385-3319 | 2011-09-30 |
| 1265715635 | Jatin Patel | Pharmacist | 4400 Highland Road, Waterford, MICHIGAN 48328 | 2011-09-22 |
| Find all providers in WATERFORD | ||||
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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.