MRS. IVY JACKIE SANDERS (NPI# 1164713426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164713426 |
| Entity Type | Individual |
| Full Name | MRS. IVY JACKIE SANDERS |
| Practice Address |
4761 Ward Blvd Wilson NC 27893-4359 |
| Practice Telephone | 2523992112 |
| Practice Fax Number | 2523992136 |
| Mailing Telephone | 2523992112 |
| Mailing Fax Number | 2523992136 |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 28514 | NC | Pharmacy Service Providers |
| Street Address |
4761 WARD BLVD |
| City | WILSON |
| State | NC |
| Zip Code | 27893-4359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669420733 | Martin Keith Williams | Psychiatry & Neurology | 4761 Ward Blvd, Nc Special Care Center, Wilson, NC 27893 | 2006-05-04 |
| 1972061851 | Ericka Deanna Packer | Physical Therapy Assistant | 4761 Ward Blvd, Wilson, NC 27893-4359 | 2019-03-09 |
| 1700177060 | Sheryl A Beck | Pharmacy Technician | 4761 Ward Blvd, Wilson, NC 27893-4359 | 2011-04-21 |
| 1164713434 | Cindy Taylor Whitley | Pharmacy Technician | 4761 Ward Blvd, Wilson, NC 27893-4359 | 2011-04-21 |
| 1932490299 | Tonya Uzzell Best | Pharmacist | 4761 Ward Blvd, Wilson, NC 27893-4359 | 2011-04-21 |
| 1982995254 | Patricia S Price | Pharmacist | 4761 Ward Blvd, Wilson, NC 27893-4359 | 2011-04-21 |
| 1528359940 | David Christopher Fazakerly | Pharmacy Technician | 4761 Ward Blvd, Wilson, NC 27893-4359 | 2011-04-20 |
| 1942416300 | Longleaf Neuro-medical Treatment Center | Nursing Facility/Intermediate Care Facility | 4761 Ward Blvd, Wilson, NC 27893 | 2007-05-15 |
| 1174669691 | Longleaf Neuro-medical Treatment Center | Alzheimer Center (Dementia Center) | 4761 Ward Blvd, Wilson, NC 27893 | 2007-01-30 |
| 1710038732 | Longleaf Neuro Medical Treatment Center | Pharmacy | 4761 Ward Blvd, Wilson, NC 27893-4359 | 2007-01-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847524 | Graceland Student Services LLC | Early Intervention Provider Agency | 610 Fairview Ave., Wilson, NC 27893 | 2020-09-30 |
| 1508477894 | Evan Michael Abatiell | Specialist/Technologist | 400 Atlantic Christian E West Ne, Wilson, NC 27893 | 2020-08-11 |
| 1679100606 | Newgreen Inhomecare Group Inc | Registered Nurse | 121 Nast Street N, Wilson, NC 27893 | 2020-03-27 |
| 1942772983 | Open Water Medical, Pa | Clinic/Center | 4008 Nc-42, Wilson, NC 27893 | 2018-12-31 |
| 1679043244 | Madison Rose Propst | Social Worker | 2416 Bedgood, Wilson, NC 27893 | 2018-11-27 |
| 1104396753 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2500 Horton Blvd, Wilson, NC 27893 | 2018-11-27 |
| 1528545498 | North Carolina In-home Partner-viii, LLC | Home Health | 1901 Tarboro St Sw Ste 304, Wilson, NC 27893 | 2018-07-24 |
| 1518478957 | Home Away From Home, Inc. | In Home Supportive Care | 1723 Meadowbrook Lane W., Wilson, NC 27893 | 2017-10-12 |
| 1942721295 | Sandra Susan Blazek | Social Worker | 608 Nash Street Nw, Wilson, NC 27893 | 2017-06-27 |
| 1700306297 | Kimberly Denton Almkuist | Nurse Practitioner | Wilson County Health Department, 1801 Glendale Dr. Sw, Wilson, NC 27893 | 2017-06-26 |
| Find all providers in zip 27893 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972994358 | Megan Shores | Pharmacy Technician | 3401 Raleigh Road Pkwy W, Wilson, NC 27896-8218 | 2015-02-06 |
| 1033500400 | Brittany Johnson | Pharmacy Technician | 3401 Raleigh Road Pkwy W, Wilson, NC 27896-8218 | 2015-02-06 |
| 1548651904 | Kameshia Webb | Pharmacy Technician | 3401 Raleigh Road Pkwy W, Suite 1a, Wilson, NC 27896-8218 | 2015-02-06 |
| 1851781330 | Kayanna Parker | Pharmacy Technician | 3401 Raleigh Road Pkwy W, Wilson, NC 27896-8218 | 2015-02-04 |
| 1114317732 | Tameka Mccall | Pharmacy Technician | 3401 Raleigh Road Pkwy W, Wilson, NC 27896-8218 | 2015-02-03 |
| 1598155111 | Paula Stancil | Pharmacy Technician | 3401 Raleigh Road Pkwy W, Wilson, NC 27896-8218 | 2015-02-03 |
| 1922425891 | Regional Medical Oncology Center | Pharmacy Technician | 2624 Ortho Dr, Wilson, NC 27893 | 2014-03-27 |
| 1700177060 | Sheryl A Beck | Pharmacy Technician | 4761 Ward Blvd, Wilson, NC 27893-4359 | 2011-04-21 |
| 1164713434 | Cindy Taylor Whitley | Pharmacy Technician | 4761 Ward Blvd, Wilson, NC 27893-4359 | 2011-04-21 |
| 1528359940 | David Christopher Fazakerly | Pharmacy Technician | 4761 Ward Blvd, Wilson, NC 27893-4359 | 2011-04-20 |
| Find all providers in WILSON | ||||
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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.