DR. JUSTIN DEWAYNE WILCOX (NPI# 1366799496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366799496 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN DEWAYNE WILCOX |
| Credential | PHARM D |
| Practice Address |
1127 S George Nigh Expy Mcalester OK 74501-7143 |
| Practice Telephone | 9184238440 |
| Practice Fax Number | 9184290363 |
| Mailing Telephone | 9184238440 |
| Mailing Fax Number | 9184290363 |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2012-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 15234 | OK | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073124368 | Justin Wilcox | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-08-11 |
| 1861928145 | Justin Wilcox | Chiropractor | 838 G St, San Diego, CA 92101 | 2017-05-05 |
| 1538499645 | Justin Graham Wilcox | Physician Assistant | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2010-01-12 |
| 1417017740 | Justin Carl Wilcox | Physician Assistant | 10011 Centennial Pkwy, Ste. 150, Sandy, UT 84070-4156 | 2006-12-08 |
| Street Address |
1127 S GEORGE NIGH EXPY |
| City | MCALESTER |
| State | OK |
| Zip Code | 74501-7143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093795114 | Ashley Elizabeth Elledge | Physician Assistant | 1127 S George Nigh Expy, Mcalester, OK 74501-7143 | 2006-01-17 |
| 1093283939 | Lee Ann Sherrill | Registered Nurse | 1127 S George Nigh Expy, Mcalester, OK 74501-7143 | 2018-11-08 |
| 1881180594 | Taylor Elisabeth Wood | Dentist | 1127 S George Nigh Expy, Mcalester, OK 74501-7143 | 2018-07-05 |
| 1790224103 | Shelly Ballard | Nurse Practitioner | 1127 S George Nigh Expy, Mcalester, OK 74501-7143 | 2017-02-17 |
| 1316336399 | Rachelle Ladawn Bradford | Nurse Practitioner | 1127 S George Nigh Expy, Mcalester, OK 74501-7143 | 2015-01-14 |
| 1285056655 | Cassie Sutherland | Physician Assistant | 1127 S George Nigh Expy, Mcalester, OK 74501-7143 | 2014-01-20 |
| 1982992947 | Aaron Don Beaver | Dentist | 1127 S George Nigh Expy, Mcalester, OK 74501-7143 | 2011-07-12 |
| 1891922670 | Misti K Crawley | Pediatrics | 1127 S George Nigh Expy, Mcalester, OK 74501-7143 | 2009-06-18 |
| 1245473032 | Raina Ann Sparks | Dietitian, Registered | 1127 S George Nigh Expy, Mcalester, OK 74501-7143 | 2009-04-09 |
| 1639320971 | Michele Deann Troy Defrange | Counselor | 1127 S George Nigh Expy, Mcalester, OK 74501-7143 | 2008-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371466 | Belfair of Mcalester LLC | Assisted Living Facility | 802 Windsong Way, Mcalester, OK 74501 | 2019-11-22 |
| 1912425018 | Jennifer Bird | Case Manager/Care Coordinator | 34 Harpoon Dr, Mcalester, OK 74501 | 2017-09-08 |
| 1073033502 | Natalie Aline Kitchell | Case Manager/Care Coordinator | 1303 Hickory Bend, Mcalester, OK 74501 | 2017-06-26 |
| 1265964308 | Phoenix Counseling and Assessment Center, Inc. | Community/Behavioral Health | 32 E Cherokee, Suite 104, Mcalester, OK 74501 | 2017-03-29 |
| 1215302799 | Christine Herron | Physical Therapy Assistant | 1029 E. Washington Ave, Mcalester, OK 74501 | 2015-12-09 |
| 1437538212 | Lauren White | Speech-Language Pathologist | 205 South 2nd, Mcalester, OK 74501 | 2015-05-26 |
| 1316344096 | Ashley Brooke Monks | Speech-Language Pathologist | 557 Broken Feather Lane, Mcalester, OK 74501 | 2014-11-25 |
| 1821407644 | William Joseph Kinderknecht | Family Medicine | 4 E. Clark Bass Blvd., Suite 301a, Mcalester, OK 74501 | 2014-08-06 |
| 1467795153 | Kensey Mckay Holman | Occupational Therapist | 903 E Monroe Ave Ste 200, Mcalester, OK 74501 | 2013-04-01 |
| 1821334418 | Delors J Simmons | Counselor | 600 North D St, Mcalester, OK 74501 | 2012-12-31 |
| Find all providers in zip 74501 | ||||
| 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 |
|---|---|---|---|---|
| 1043614480 | Robert Savely | Pharmacist | 2017 Ten Spgs, Mcalester, OK 74501-7098 | 2014-10-14 |
| 1467737957 | Brad Allen Bishop | Pharmacist | 1000 Carl Albert Pkwy, Mcalester, OK 74501 | 2011-10-15 |
| 1366726564 | Jeff Johns | Pharmacist | 1000 E Carl Albert, Mcalester, OK 74501 | 2011-10-06 |
| 1174750848 | Stephanie Dawn Skiles | Pharmacist | 1001 E Wyandotte, Drug Warehouse #6, Mcalester, OK 74501 | 2009-06-19 |
| 1477631513 | Gln of Mcalester, Inc | Pharmacist | 601 E Wyandotte Ave, Mcalester, OK 74501-5425 | 2006-11-02 |
| 1023112364 | Terri Denise Elliott | Pharmacist | 903 East Monroe, Mcalester, OK 74501 | 2006-09-08 |
| 1760584841 | Donald R Ratliff | Pharmacist | 903 E Monroe Ave, Mcalester, OK 74501-4839 | 2006-09-01 |
| 1982204194 | Kerri Lee Jones | Pharmacist | 601 E Wyandotte Ave, Mcalester, OK 74501-5425 | 2020-10-27 |
| 1225638653 | Cheryl R Kelley | Pharmacist | 432 S George Nigh Expy, Mcalester, OK 74501-6025 | 2020-10-26 |
| 1154824902 | Larry Don Auld | Pharmacist | 1000 E Carl Albert Pkwy, Mcalester, OK 74501-5121 | 2018-03-16 |
| Find all providers in MCALESTER | ||||
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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.