JORDAN WILSON (NPI# 1235775263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235775263 |
| Entity Type | Individual |
| Full Name | JORDAN WILSON |
| Credential | PHARMD |
| Practice Address |
8745 S Emerson Ave Indianapolis IN 46237-9400 |
| Practice Telephone | 3178843325 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26025674A | IN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962914341 | Jordan Wilson | Dietitian, Registered | 2075 E Flamingo Rd -southmagna, Room242, Las Vegas, NV 89119-5188 | 2017-10-25 |
| 1265951610 | Jordan Elisabeth Wilson | Behavior Technician | 1114 Main St Apt A, Danville, VA 24541-2954 | 2017-09-18 |
| 1568060879 | Jordan Leigh Wilson | Behavior Technician | 3012 E Hebron Pkwy Ste 118, Carrollton, TX 75010-4461 | 2020-10-09 |
| 1962041095 | Jordan Wilson | Case Manager/Care Coordinator | 3800 Watt Ave, Sacramento, CA 95821-2670 | 2020-01-07 |
| 1609346030 | Jordan Wilson | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2018-11-28 |
| 1508344037 | Jordan Wood Wilson | Physician Assistant | 1515 Holcombe Blvd, Houston, TX 77030 | 2018-08-06 |
| 1578073821 | Jordan Wilson | Psychologist | 8140 Ashton Ave, Suite 200, Manassas, VA 20109 | 2017-10-01 |
| 1235651720 | Jordan Wilson | Physician Assistant | 2428 W Reynolds Ave, Centralia, WA 98531 | 2017-07-17 |
| 1710295951 | Jordan Nicole Wilson | Physical Therapy Assistant | 111 E Washington St, Bensenville, IL 60106-2674 | 2010-09-22 |
| Street Address |
8745 S EMERSON AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46237-9400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104999416 | Kroger Limited Partnership I | Pharmacy | 8745 S Emerson Ave, Indianapolis, IN 46237-9400 | 2006-11-16 |
| 1003452269 | Katie Blum | Pharmacist | 8745 S Emerson Ave, Indianapolis, IN 46237-9400 | 2019-11-22 |
| 1851937130 | Tracy Ann Newman | Pharmacist | 8745 S Emerson Ave, Indianapolis, IN 46237-9400 | 2019-11-21 |
| 1669858890 | Mary Mcmullen | Nurse Practitioner | 8745 S Emerson Ave, Indianapolis, IN 46237-9400 | 2015-08-11 |
| 1134512320 | Gladys Nickell Tharpe | Nurse Practitioner | 8745 S Emerson Ave, Indianapolis, IN 46237-9400 | 2015-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568961902 | Ashley Marie Mitchell | Nurse Practitioner | 8111 S Emerson Ave # 101, Indianapolis, IN 46237 | 2018-02-11 |
| 1245692177 | Christopher W Gregory | Pharmacist | 8111 S Emerson Avenue, Indianapolis, IN 46237 | 2016-03-21 |
| 1558729111 | Franklin Point Dental | Clinic/Center | 6751 E Southport Rd, Suite H, Indianapolis, IN 46237 | 2016-02-10 |
| 1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
| 1164894697 | Mercedes Castellanos-pitcock | Physician Assistant | 7855 S Emerson Ave Ste P, Indianapolis, IN 46237 | 2015-10-23 |
| 1013301142 | Sophia Frawley | Physical Therapist | 7855 South Emerson Avenue, Suite W, Indianepolis, IN 46237 | 2015-03-26 |
| 1154715829 | Emily Marie Prather | Specialist/Technologist | 4607 Citation Cir, Indianapolis, IN 46237 | 2015-03-20 |
| 1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
| 1790121549 | Carol Lynn Patton | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237 | 2013-05-21 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| Find all providers in zip 46237 | ||||
| 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 |
|---|---|---|---|---|
| 1447851928 | Alicia Helene Wojciechowski | Pharmacist | 5829 N New Jersey St, Indianapolis, IN 46220-2534 | 2020-11-02 |
| 1871194472 | Megan Mccullough | Pharmacist | 10617 East Washington Street, Pharmacy At Walmart, Indianapolis, IN 46222 | 2020-11-02 |
| 1548860802 | Adam Mccoy | Pharmacist | 9240 N Meridian St Ste 140, Indianapolis, IN 46260-2368 | 2020-10-27 |
| 1033716295 | Farah Khan | Pharmacist | 1928 Pamona Dr, Indianapolis, IN 46214-3361 | 2020-10-01 |
| 1760090690 | Kristy Ann Rapes | Pharmacist | 1901 N Senate Blvd # Ag401, Indianapolis, IN 46202-1246 | 2020-07-16 |
| 1306462288 | Katherine Marie Anderson | Pharmacist | 8441 Fairwind Ct, Indianapolis, IN 46256-1544 | 2020-06-17 |
| 1629698352 | Zachary William Howe | Pharmacist | 1701 N Capitol Ave Rm B222, Indianapolis, IN 46202-1203 | 2020-04-22 |
| 1528688603 | Justin Biancardi | Pharmacist | 550 University Blvd # R077, Indianapolis, IN 46202-5149 | 2020-04-20 |
| 1619506953 | Katherine Pola | Pharmacist | 6053 Halfmoon Ln, Indianapolis, IN 46220-4142 | 2020-04-08 |
| 1770120883 | Benjamin Neuenschwander | Pharmacist | 9851 E 59th St, Indianapolis, IN 46216-1124 | 2019-12-09 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46237 |
Please comment or provide details below to improve the information on JORDAN 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.