DR. KELLY LOUISE WILDER (NPI# 1467835959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467835959 |
| Entity Type | Individual |
| Full Name | DR. KELLY LOUISE WILDER |
| Credential | PHARMD |
| Practice Address |
3917 Spring Grove Ave Cincinnati OH 45223-3302 |
| Practice Telephone | 5133577600 |
| Mailing Telephone | 5133577600 |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-07-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 03334990 | OH | Pharmacy Service Providers |
| Street Address |
3917 SPRING GROVE AVE |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45223-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902819154 | City of Cincinnati | Dentist | 3917 Spring Grove Ave, Northside Health Center, Cincinnati, OH 45223-3302 | 2006-08-15 |
| 1902398530 | Amber Marie Etzel | Pharmacist | 3917 Spring Grove Ave, Cincinnati, OH 45223-3302 | 2018-05-30 |
| 1356879076 | Nira Kadakia | Pharmacy | 3917 Spring Grove Ave, Cincinnati, OH 45223-3302 | 2017-05-25 |
| 1205387982 | Jonathan Burns | Pharmacist | 3917 Spring Grove Ave, Cincinnati, OH 45223-3302 | 2016-10-18 |
| 1427410687 | Nicole Dawn Garcia Lacasse | Pediatrics | 3917 Spring Grove Ave, Cincinnati, OH 45223-3302 | 2016-03-25 |
| 1851788731 | Allison Michelle Ng | Family Medicine | 3917 Spring Grove Ave, Cincinnati, OH 45223 | 2015-04-18 |
| 1053716316 | Joann Cox | Dental Assistant | 3917 Spring Grove Ave, Cincinnati, OH 45223-3302 | 2014-10-29 |
| 1588005565 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3917 Spring Grove Ave, Cincinnati, OH 45223-3302 | 2013-07-08 |
| 1568728038 | Bethanne Brown | Pharmacist | 3917 Spring Grove Ave, Cincinnati, OH 45223-3302 | 2012-04-09 |
| 1891018511 | City of Cincinnati | Clinic/Center | 3917 Spring Grove Ave, Cincinnati, OH 45223-3302 | 2010-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558861351 | Residential Management Systems, Inc.-springlawn | Intermediate Care Facility, Mentally Retarded | 1520 Springlawn Avenue, Cincinnati, OH 45223 | 2018-02-19 |
| 1710497052 | Timothy Paul Miller | Psychologist | 4163 Hamilton Ave Ste B, Cincinnati, OH 45223 | 2017-09-30 |
| 1639692338 | Jessica Powell | Licensed Practical Nurse | 4101 Spring Grove Ave, Unit 309, Cincinnati, OH 45223 | 2017-07-25 |
| 1902081268 | Fannye Mae Stephens | Home Health Aide | 4320 Hamilton Ave, Cincinnati, OH 45223 | 2008-01-07 |
| 1568429116 | Marpadga Purushotam Reddy | Family Medicine | 1728 Chase Avenue, Cincinnati, OH 45223 | 2006-04-27 |
| 1417196668 | M P Reddy Md Inc | Family Medicine | 1728 Chase Avenue, Cincinnati, OH 45223 | 2009-02-11 |
| 1144839374 | Shimmaine Monique Scales | Registered Nurse | 5138 Colerain Ave, Cincinnati, OH 45223-1006 | 2020-07-23 |
| 1326288119 | Shonda Jones | Home Health Aide | 5101 Hawaiian Ter Apt 1, Cincinnati, OH 45223-1130 | 2009-03-06 |
| 1861814477 | Livian Ramsey | Home Health | 5005 Hawaiian Ter, Cincinnati, OH 45223-1152 | 2014-01-16 |
| 1245763309 | Kayniqua Mitchner | Licensed Practical Nurse | 4871 Hawaiian Ter, Cincinnati, OH 45223-1158 | 2017-04-06 |
| Find all providers in zip 45223 | ||||
| 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 |
|---|---|---|---|---|
| 1457969354 | Cara Felix | Pharmacist | 5588 Squirrel Run, Cincinnati, OH 45247-3615 | 2020-07-16 |
| 1467078758 | Adam Gabriel Friedman | Pharmacist | 409 Milton St Apt 2, Cincinnati, OH 45202-9006 | 2020-06-22 |
| 1265057491 | Dina Abouelseoud | Pharmacist | 1982 8 Mile Rd, Cincinnati, OH 45255-2609 | 2020-06-12 |
| 1124656517 | Charles Mcclure | Pharmacist | 1580 Blue Rock St Unit 420, Cincinnati, OH 45223-2745 | 2020-03-31 |
| 1598399149 | Quang Tran | Pharmacist | 5328 Moeller Ave, Cincinnati, OH 45212-1616 | 2020-02-22 |
| 1851922793 | Jonathan Corey Hampton | Pharmacist | 4434 Festive Ct, Cincinnati, OH 45245-1410 | 2020-01-29 |
| 1730719212 | Robert Riepenhoff | Pharmacist | 260 Stetson St Ste F, Cincinnati, OH 45219-2498 | 2020-01-23 |
| 1336787977 | Brooke Moorhead | Pharmacist | 234 Goodman St # 0739, Cincinnati, OH 45219-2364 | 2019-12-13 |
| 1528609815 | Yuliya Azirbayeva | Pharmacist | 3 West Corry St, Cincinnati, OH 45219 | 2019-10-08 |
| 1245871896 | Jacqueline Marie Dunker | Pharmacist | Walmart Pharmacy 1443, 4370 Eastgate Square Drive, Cincinnati, OH 45245 | 2019-10-04 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45223 |
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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.