LISA DIANE WILSON (NPI# 1184225062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184225062 |
| Entity Type | Individual |
| Full Name | LISA DIANE WILSON |
| Practice Address |
5600 Landers Road Sherwood AR 72117 |
| Mailing Address |
3101 Overcup Dr Sherwood AR 72120-3706 |
| Practice Telephone | 5019559451 |
| Mailing Telephone | 5017721679 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD07624 | AR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386282358 | Lisa May Wilson | Registered Nurse | 563 Landings Blvd, Ann Arbor, MI 48103-2715 | 2019-12-20 |
| 1720507163 | Lisa M Wilson | Massage Therapist | 19833 Road 124, Tulare, CA 93274-9597 | 2017-09-18 |
| 1639535545 | Lisa Wilson | Social Worker | 12004 Lansdowne Rd, Austin, TX 78754-5873 | 2016-01-07 |
| 1073809018 | Lisa Zobrist Wilson | Nurse Practitioner | 10844 Thistlewood Dr, Baton Rouge, LA 70810-2921 | 2011-06-28 |
| 1215178777 | Lisa Wilson | Counselor | 4826 5th St Nw, Washington, DC 20011-6107 | 2009-03-13 |
| 1235386699 | Lisa Elaine Wilson | Counselor | 1052 Gardner Rd Ste 700, Charleston, SC 29407-5702 | 2008-08-27 |
| 1083877559 | Lisa Marie Wilson | Emergency Medicine | 925 Seneca St., Mailstop H6-ed, Virginia Mason Medical Center, Seattle, WA 98101 | 2008-07-05 |
| 1295918076 | Lisa Ann Wilson | Anesthesiology | 304 S Jones Blvd, Las Vegas, NV 89107-2623 | 2007-12-14 |
| 1518175629 | Lisa Dawn Wilson | Occupational Therapist | 550 Thornton Pkwy Unit 110, Thornton, CO 80229-2166 | 2007-05-21 |
| 1750598173 | Lisa Renee Wilson | Occupational Therapy Assistant | 7413 Pierce Pl, Merrillville Bra, IN 46410-4679 | 2007-05-16 |
| Street Address |
5600 LANDERS ROAD |
| City | SHERWOOD |
| State | AR |
| Zip Code | 72117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306475470 | Amir Amidi | Student in an Organized Health Care Education/Training Program | Baptist Health Family Medicine Residency Clinic, 3201 Springhill Dr., Suite 300, North Little Rock, AR 72117 | 2020-04-02 |
| 1699238147 | Achmed Munir Turay | Student in an Organized Health Care Education/Training Program | Baptist Health Medical Center- North Little Rock, 3333 Springhill Drive, Little Rock, AR 72117 | 2019-04-11 |
| 1548712227 | Arkansas Outpatient Surgery Center, LLC | Clinic/Center | 4331 W. 43rd, North Little Rock, AR 72117 | 2016-10-28 |
| 1982053286 | Amy Rainey | Nurse Practitioner | 3550 Springhill Dr, North Little Rock, AR 72117 | 2016-06-07 |
| 1558764159 | Premier Pharmacy Care LLC | Pharmacy | 760 Michaela Dr., North Little Rock, AR 72117 | 2014-09-27 |
| 1225458813 | Jennifer Lynn Duroy | Obstetrics & Gynecology | 3343 Springhill Dr Ste 3010, North Little Rock, AR 72117 | 2014-04-22 |
| 1285053686 | Jonathan Nicholas Chang | Obstetrics & Gynecology | 3343 Springhill Dr Ste 1005, North Little Rock, AR 72117 | 2014-04-14 |
| 1760820575 | Stefan Ceru Hemmings | Internal Medicine | 3401 Springhill Dr Ste 325, North Little Rock, AR 72117 | 2013-06-13 |
| 1104260629 | Pain & Ortho Products, LLC | Durable Medical Equipment & Medical Supplies | 4628 East 43rd, N Little Rock, AR 72117 | 2013-04-26 |
| 1578728473 | Dr Perry L Amerine Pa | Optometrist | 4120 East Mccain Blvd, Suite 104, North Little Rock, AR 72117 | 2008-07-21 |
| Find all providers in zip 72117 | ||||
| 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 |
|---|---|---|---|---|
| 1669841011 | Sarah Katherine Stephenson | Pharmacist | 102 Brockington Rd, Sherwood, AR 72120 | 2015-09-16 |
| 1558763334 | Brian Koesy | Pharmacist | 4201 E Kiehl Ave, Sherwood, AR 72120-3541 | 2014-09-23 |
| 1366841785 | Tae Yoon | Pharmacist | 21320 Sw Langer Farms Parkway, Sherwood, OR 97140 | 2014-08-21 |
| 1053666768 | Peter Altfillisch | Pharmacist | W5077 Cherrywood Ct, Sherwood, WI 54169-9510 | 2012-07-18 |
| 1205084936 | Keri Kessel | Pharmacist | 16030 Sw Tualatin Sherwood Rd, Sherwood, OR 97140-8521 | 2008-09-06 |
| 1245831049 | Robiul Mostafa | Pharmacist | 9053 Highway 107, Sherwood, AR 72120-2933 | 2020-11-06 |
| 1467053942 | Hiedi Mason | Pharmacist | 9053 Highway 107, Sherwood, AR 72120-2933 | 2020-11-03 |
| 1659972214 | Eddie Dunn | Pharmacist | 8801 Highway 107, Sherwood, AR 72120-2929 | 2020-11-02 |
| 1497355291 | Jennifer Ann Ray | Pharmacist | 8801 Highway 107, Sherwood, AR 72120-2929 | 2020-10-29 |
| 1205436086 | Gaye Collins | Pharmacist | 8801 Highway 107, Sherwood, AR 72120-2929 | 2020-10-29 |
| Find all providers in SHERWOOD | ||||
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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.