ERICA WILSON (NPI# 1578199519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578199519 |
| Entity Type | Individual |
| Full Name | ERICA WILSON |
| Credential | PHARMD |
| Practice Address |
5601 Loch Raven Blvd Baltimore MD 21239-2945 |
| Mailing Address |
2240 E Baltimore St Baltimore MD 21231-2004 |
| Practice Telephone | 4126109394 |
| Mailing Telephone | 4126109394 |
| Enumeration Date | 2020-03-22 |
| Last Update Date | 2020-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
26955 | MD | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | PHARMACIST LICENSE | 26955 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902448749 | Erica Toy Wilson | Physician Assistant | 44 Water Street, Owingsville, KY 40360 | 2019-10-14 |
| 1982254801 | Erica A Wilson | Pharmacist | 304 St. Charles Way, York, PA 17402-4647 | 2019-09-12 |
| 1356853113 | Erica Wilson | Technician | 900 Varney St Se Apt 209, Washington, DC 20032-4315 | 2017-11-01 |
| 1720178437 | Erica B Wilson | Counselor | 3704 Shamrock Court, Gautier, MS 39553 | 2006-10-13 |
| 1801890439 | Erica R Wilson | Speech-Language Pathologist | 2395 Wall St Se, Suite 190, Conyers, GA 30013-6703 | 2005-06-10 |
| 1063024974 | Erica C Wilson | Case Manager/Care Coordinator | 16 W Long St, Columbus, OH 43215-2815 | 2020-08-21 |
| 1003448622 | Erica Wilson | Peer Specialist | 9890 County Farm Rd Ste 3, Riverside, CA 92503-3678 | 2020-02-11 |
| 1922630375 | Erica Suzanne Wilson | Counselor | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2020-02-04 |
| 1306315635 | Erica Wilson | Technician, Other | 2222 Martin Ste 170, Irvine, CA 92612-1450 | 2018-11-15 |
| 1407333768 | Erica Joyce Wilson | Nurse Practitioner | 100 N Pointe Blvd, Mount Airy, NC 27030-2266 | 2018-07-19 |
| Street Address |
5601 LOCH RAVEN BLVD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21239-2945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940588 | Paul Byron Fowler | Specialist | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2005-05-23 |
| 1992328017 | Kaitlin Lee | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-05-22 |
| 1023646692 | Akiko Rockers | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-03-30 |
| 1154952497 | Kimberly Jo Jenko | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-01-27 |
| 1679103576 | Nerland Dimanche | Registered Nurse | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2020-01-20 |
| 1063058782 | Simcha Gratz | Nurse Practitioner | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-11-19 |
| 1548817737 | Christopher Burgess | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-08-22 |
| 1114571809 | Lauren Delmonico | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-07-30 |
| 1750943411 | Sana Tanveer Ahmed | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-07-02 |
| 1336704675 | Shanna Danielle Raphael | Physician Assistant | 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | 2019-05-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255809273 | Books of Color, LLC | Student in an Organized Health Care Education/Training Program | 1222 Walker Ave, Baltimore, MD 21239 | 2018-11-07 |
| 1902381353 | Brandon Wilson | Physician Assistant | 5601 Lochraven Blvd, Baltimore, MD 21239 | 2018-10-02 |
| 1629563879 | Ashley C Sayles | Nurse Practitioner | 5601 Loch Raven Blvd Ste 200, Baltimore, MD 21239 | 2018-06-28 |
| 1164940656 | Tarnisha Fitzgerald | Nurse Practitioner | 1601 East Belvedere Avenue, Baltimore, MD 21239 | 2017-09-05 |
| 1083153803 | J.pope & Associates, LLC | Counselor | 1800 E. Northern Pkwy #28031, Baltimore, MD 21239 | 2017-02-13 |
| 1417336017 | Mana Ali | Psychologist | 5601 Loch Raven Blvd Ste 406, Johns Hopkins Som Dept of Physical Med and Rehab, Baltimore, MD 21239 | 2015-05-28 |
| 1730597766 | Ramona Taylor-knox | Counselor | 1700 Meridian Drive, Suite 611, Baltimore, MD 21239 | 2014-07-22 |
| 1013259142 | Innovative Healing Solutions,llc | Social Worker | 1302 Silverthorne Rd, Baltimore, MD 21239 | 2013-03-27 |
| 1962744268 | Mohamad Hanouneh | Internal Medicine | 5601 Loch Raven Blvd Ste 3n, Baltimore, MD 21239 | 2013-03-25 |
| 1164713350 | Vanessa G Brown | Pharmacist | 5618 The Alameda, Baltimore, MD 21239 | 2011-04-22 |
| Find all providers in zip 21239 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669993606 | Maria Giannas | Pharmacist | 6510 O'donnell St, Baltimore, MD 21224 | 2017-06-29 |
| 1629517511 | David Procaccini | Pharmacist | 1800 Orleans St Rm 4362, Baltimore, MD 21287-0010 | 2017-02-13 |
| 1780092627 | Lawrence Schultz | Pharmacist | 709 Old Crossing Dr, Baltimore, MD 21208-3308 | 2014-07-23 |
| 1992122436 | Andrea Mcmunn | Pharmacist | 600 N Wolfe St Carnegie 160, Baltimore, MD 21287-0001 | 2014-03-22 |
| 1457787269 | Maryland Pharmacists Association | Pharmacist | 1800 Washington Blvd, Suite 333, Baltimore, MD 21230-1701 | 2013-09-25 |
| 1619226693 | Lauren Marie Hynicka | Pharmacist | 20 N Pine St Rm 444, Baltimore, MD 21201-1142 | 2012-09-05 |
| 1386916161 | Jill A Morgan | Pharmacist | 20 N Pine St Rm 309f, Baltimore, MD 21201-1142 | 2012-02-08 |
| 1689980369 | Alice Jung-hee Yang | Pharmacist | 714 Portland St, Baltimore, MD 21230-2212 | 2010-08-19 |
| 1811148836 | Jessie Rose Lish | Pharmacist | 511 W Pratt St, Apartment 1820, Baltimore, MD 21201-1648 | 2008-10-08 |
| 1255506978 | Jody Lounsbery | Pharmacist | 300 W Lombard St Apt 509, Baltimore, MD 21201-2530 | 2008-04-23 |
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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.