JACOB WISLOCKI (NPI# 1598386914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598386914 |
| Entity Type | Individual |
| Full Name | JACOB WISLOCKI |
| Practice Address |
12501 Shelbyville Rd Louisville KY 40243-1530 |
| Mailing Address |
14309 Willow Grove Cir Louisville KY 40245-5158 |
| Practice Telephone | 5022447960 |
| Mailing Telephone | 5025506767 |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183700000X | Pharmacy Technician | 30126456 | KY | Pharmacy Service Providers |
| Y | 183700000X | Pharmacy Technician | PT00355160 | KY | Pharmacy Service Providers |
| Street Address |
12501 SHELBYVILLE RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40243-1530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588263412 | Michael Raque | Pharmacist | 12501 Shelbyville Rd, Louisville, KY 40243-1530 | 2020-10-21 |
| 1336767235 | Kali Moller | Pharmacist | 12501 Shelbyville Rd, Louisville, KY 40243-1530 | 2020-07-08 |
| 1811513930 | Laurie Gupton | Pharmacist | 12501 Shelbyville Rd, Louisville, KY 40243-1530 | 2020-06-24 |
| 1730712878 | Daniel Preston Nall | Pharmacist | 12501 Shelbyville Rd, Louisville, KY 40243-1530 | 2020-02-18 |
| 1770911752 | Marie Jewell | Pharmacist | 12501 Shelbyville Rd, Louisville, KY 40243-1530 | 2013-10-29 |
| 1972783496 | Phelicisima Weaver Roberts | Pharmacist | 12501 Shelbyville Rd, Louisville, KY 40243-1530 | 2007-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801949 | Pulsemer Health LLC | Clinic/Center | 11408 Shelbyville Rd, Suite 2, Louisville, KY 40243 | 2020-11-05 |
| 1316563372 | Molly Elizabeth Fitzgerald | Counselor | 350 Evergreen Road Suite 102, Louisville, KY 40243 | 2020-06-24 |
| 1215575410 | Eric Wolfe | Pharmacist | 1320 Snake Foot Drive, Apt 204, Louisville, KY 40243 | 2019-12-18 |
| 1417501974 | Joshua Bynum | Physical Therapist | 12935 Shelbyville Road Ste 106, Louisville, KY 40243 | 2019-08-01 |
| 1376013342 | Carmen Sue Frederick | Psychologist | 731 Speckman Road, Louisville, KY 40243 | 2018-12-03 |
| 1205366846 | Triple Crown Dentistry | Dentist | 904 Lily Creek Road, Suite 101, Louisville, KY 40243 | 2017-06-15 |
| 1659811636 | Jean Steltenpohl | Dietitian, Registered | 518 Cheskirk Pl, Louisville, KY 40243 | 2017-02-24 |
| 1548555287 | Jonathan D Senters | Pharmacist | 12975 Shelbyville Road, T-2728, Middletown, KY 40243 | 2011-06-10 |
| 1023339835 | Ashley Rose Havens | Speech-Language Pathologist | 11510 Main Street, Louisville, KY 40243 | 2010-06-15 |
| 1801110424 | Shawna L. Kauffman | Family Medicine | 12955 Shelbyville Rd Ste 2, Louisville, KY 40243 | 2010-03-25 |
| Find all providers in zip 40243 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952927188 | Caitlin Robinson | Pharmacy Technician | 4024 Poplar Level Rd Apt 12, Louisville, KY 40213-1575 | 2020-06-23 |
| 1457741100 | Karen Cathaleen Owens | Pharmacy Technician | 9502 Magnolia Ridge Dr Unit 202, Louisville, KY 40291-6777 | 2015-02-03 |
| 1104217116 | Christen Ferguson | Pharmacy Technician | 4640 Taylorsville Rd, Louisville, KY 40220-3530 | 2015-02-12 |
| 1184015547 | Laura White | Pharmacy Technician | 4174 Westport Rd, Louisville, KY 40207-2735 | 2015-02-06 |
| 1891185484 | Brittany Donnelly | Pharmacy Technician | 4101 Towne Center Dr, Louisville, KY 40241-4146 | 2015-02-03 |
| 1548650294 | Rachel Popham | Pharmacy Technician | 4174 Westport Rd, Louisville, KY 40207-2735 | 2015-02-03 |
| 1275923823 | Katherine L Perry | Pharmacy Technician | 7311 Jefferson Blvd, Louisville, KY 40219-6178 | 2015-02-03 |
| 1609217975 | Shavon Michelle Offutt | Pharmacy Technician | 990 Baxter Ave, Louisville, KY 40204-2064 | 2013-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114543816 | Joshua Scott Gue | Pharmacy Technician | 2929 Franklin St, Ashland, KY 41101-3812 | 2020-06-19 |
| 1174146880 | William I Day | Pharmacy Technician | 1501 Bull Lea Rd Ste 105, Lexington, KY 40511-1209 | 2020-05-28 |
| 1730708876 | Kymberli Ava Lander | Pharmacy Technician | 217 Woodgate Rd, Frankfort, KY 40601-4189 | 2020-04-09 |
| 1134663149 | William Smith | Pharmacy Technician | 1646 Redbud Cir, Radcliff, KY 40160-2823 | 2016-12-09 |
| 1154599702 | John Wu | Pharmacy Technician | 3199 Beaumont Centre Cir, Lexington, KY 40513-1709 | 2008-02-18 |
| 1245839828 | Helen Genette Holliday | Pharmacy Technician | 31 Big Hill Dr, Beattyville, KY 41311-8725 | 2020-10-23 |
| 1417577941 | Cody Patrick | Pharmacy Technician | 12544 Us Route 60, Ashland, KY 41102-9687 | 2020-04-24 |
| 1124650767 | Amber Dawn Courtney | Pharmacy Technician | 1210 Ky Highway 36 E Ste G6, Cynthiana, KY 41031-7493 | 2020-02-11 |
| 1043852106 | Melanie Buchanan-manning | Pharmacy Technician | 129 S Main St, Evarts, KY 40828 | 2019-10-10 |
| 1588194880 | Heath William Wentzel | Pharmacy Technician | 1307 Winchester Rd, Lexington, KY 40505-4124 | 2017-06-19 |
| Find all providers with the same taxonomy | ||||
| City | LOUISVILLE |
| Zip Code | 40243 |
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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.