CAROL P WISDOM (NPI# 1144850140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144850140 |
Entity Type | Individual |
Full Name | CAROL P WISDOM |
Practice Address |
4579 Wall Triana Hwy Madison AL 35758-9305 |
Mailing Address |
9319 Arch Street Pl Madison AL 35758-5527 |
Practice Telephone | 2564618530 |
Mailing Telephone | 2564618530 |
Enumeration Date | 2020-01-19 |
Last Update Date | 2020-01-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
11126 | AL | Pharmacy Service Providers |
Street Address |
4579 WALL TRIANA HWY |
City | MADISON |
State | AL |
Zip Code | 35758-9305 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013368216 | Kroger Limited Partnership I | Pharmacy | 4579 Wall Triana Hwy, Madison, AL 35758-9305 | 2016-06-29 |
1861015174 | Donald Marlowe | Pharmacist | 4579 Wall Triana Hwy, Madison, AL 35758-9305 | 2020-05-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487299277 | Hanging Lanes Christian Wellness Ministries and Counseling Center | Counselor | 650 Sun Temple Drive, Madison, AL 35758 | 2019-11-15 |
1104487396 | Caroline Thomas Estes | Occupational Therapist | 8475 Wann Drive, Madison, AL 35758 | 2019-06-27 |
1265902894 | Sharinne Summers Sears | Registered Nurse | 204 Grove Village Way, Madison, AL 35758 | 2018-11-27 |
1013484666 | Lori Pohly | Counselor | 190 Lime Quarry Road, Suite 212, Madison, AL 35758 | 2018-10-31 |
1174022297 | Rhonda Marie Stalb | Marriage & Family Therapist | 650 Sun Temple Dr Ste 101, Madison, AL 35758 | 2018-02-04 |
1528585932 | Alabama Dental Professionals, PC | Dentist | 7666 Highway 72 W, Madison, AL 35758 | 2017-08-25 |
1134658537 | Diane Bierbauer | Dietitian, Registered | 520 Thoreau Spring Ct, Madison, AL 35758 | 2017-06-08 |
1255870408 | Maggie Collins | Nurse Practitioner | 7559 U.S. 72, Madison, AL 35758 | 2017-02-21 |
1649648858 | Terry A. Burgess | Dentist | 810 Palmer Plaza, # 103, Madison, AL 35758 | 2015-09-03 |
1063896314 | Caswall C Harrigan Physician PC | Family Medicine | Madison Medical Plaza 540 Hughes Road, Suite 14, Madison, AL 35758 | 2015-07-16 |
Find all providers in zip 35758 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508311028 | Koshy Mathew | Pharmacist | 122 Mcdill Cv, Madison, MS 39110-6562 | 2016-08-25 |
1245629716 | Donald Lee Michalski | Pharmacist | 1 Classic Cir, Madison, WI 53719-4437 | 2015-01-21 |
1467840801 | Pooja Arora | Pharmacist | 7545 Tree Ln Apt 102g, Madison, WI 53717-2185 | 2015-01-08 |
1962702399 | Connie Kroll Kraus | Pharmacist | 701 Dane St. Access Community Health Center, Wingra Family Medical Center, Madison, WI 53713-1900 | 2010-11-02 |
1861015174 | Donald Marlowe | Pharmacist | 4579 Wall Triana Hwy, Madison, AL 35758-9305 | 2020-05-20 |
1083253272 | Susan Carol Storm | Pharmacist | 525 E Clifty Dr, Madison, IN 47250-1672 | 2020-01-06 |
1669011185 | Vanessa Wrightsman | Pharmacist | 525 E Clifty Dr, Madison, IN 47250-1672 | 2020-01-01 |
1982243622 | Mandy Jo Collins | Pharmacist | 525 E Clifty Dr, Madison, IN 47250-1672 | 2019-12-28 |
1467090258 | Chad Franklin Stewart | Pharmacist | 115 Colony Crossing Way, Madison, MS 39110 | 2019-12-12 |
1225676190 | Anne Marie Simmons | Pharmacist | 1070 Highway 51, Madison, MS 39110-9084 | 2019-12-11 |
Find all providers in MADISON |
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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.