POLLY ELIZABETH WILSON


Address: 2399 Mcgrady Dr Se, Cleveland, TN 37323-7147
Phone: 4235599094

POLLY ELIZABETH WILSON (NPI# 1609158393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609158393
Entity Type Individual
Full Name POLLY ELIZABETH WILSON
Other Name POLLY ELIZABETH FUNK
Credential PHARMD
Practice Address 2399 Mcgrady Dr Se
Cleveland
TN 37323-7147
Mailing Address 7626 Prince Dr
Ooltewah
TN 37363-7148
Practice Telephone 4235599094
Practice Fax Number 4235599116
Mailing Telephone 4239100259
Enumeration Date 2011-09-19
Last Update Date 2011-09-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 27713 TN Pharmacy Service Providers

Other Providers POLLY WILSON

NPI Name Taxonomy Address Enumeration
1437594652 Polly Ann Wilson Social Worker 279 Summit Dr, Waterford, MI 48328-3364 2013-05-01
1508150350 Polly Wilson Counselor 2502 Crossroads Dr, B, Ardmore, OK 73401-2503 2011-06-08

Office Location

Street Address 2399 MCGRADY DR SE
City CLEVELAND
State TN
Zip Code 37323-7147

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134134174 Walgreen Co Pharmacy 2399 Mcgrady Dr Se, Cleveland, TN 37323-7147 2006-07-29
1215548177 Lindsey Diederich Pharmacist 2399 Mcgrady Dr Se, Cleveland, TN 37323-7147 2020-08-13
1457663262 Dennis Neal Foskey Pharmacist 2399 Mcgrady Dr Se, Cleveland, TN 37323-7147 2010-07-09
1548572746 Rose Branstutter Pharmacist 2399 Mcgrady Dr Se, Cleveland, TN 37323-7147 2010-07-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477066082 Quadmed Medical Clinics of Wisconsin, S.c. D/b/a Quadmed Medical Group Registered Nurse 2525 Benton Pike Ne, Cleveland, TN 37323 2017-11-06
1679877518 Life Bridges, Inc. Intermediate Care Facility, Mentally Retarded 207 Kile Lake Road, Cleveland, TN 37323 2011-01-07
1376847251 Life Bridges, Inc. Intermediate Care Facility, Mentally Retarded 209 Kile Lake Road, Cleveland, TN 37323 2011-01-06
1508084302 Karen Elizabeth Gannon Nurse Practitioner 11111 Doctor's Office Tower, 2200 Children's Way, Nashville, TN 37323 2007-04-24
1235353566 Melissa D Townsend Specialist/Technologist, Other 120 Fern Drive, Cleveland, TN 37323 2007-04-11
1306965686 David Wayne Miolen Dentist 2648 Apd 40, Cleveland, TN 37323 2007-03-28
1780751933 Linda Fay Wooten Driver 2259 Spring Place Rd Se, Cleveland, TN 37323 2006-11-30
1487134482 Kristy Alese Henegar Nurse Practitioner 1420 Fritz St Se, Cleveland, TN 37323 2018-08-19
1417577537 Eduardo Trevino Family Medicine 3009 Midfield Cir Se, Cleveland, TN 37323-0554 2020-04-18
1831339589 Lyle Foster Johnson Occupational Therapy Assistant 2657 Apd 40, Cleveland, TN 37323-0696 2009-02-20
Find all providers in zip 37323

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659972305 Rosemary Jean Snow Pharmacist 5841 W 130th St, Cleveland, OH 44130-9308 2020-11-07
1811513377 Anthony Wasielewski Pharmacist 1415 W 112th St Apt 23, Cleveland, OH 44102-2371 2020-06-21
1306495320 Letha Rebecca Gilbert Pharmacist 240 Starlet Cir Ne, Cleveland, TN 37323-6416 2019-09-11
1295388205 Mai Nguyen Pharmacist 10701 East Blvd # 119, Cleveland, OH 44106-1702 2019-07-18
1457847485 Tammy Griffin Pharmacist 84 Cleveland Highway, Cleveland, GA 30528-7804 2018-07-02
1699282533 Jignasa Bhavin Patel Pharmacist 5727 Avenwood Cir Nw, Cleveland, TN 37312-8235 2018-01-01
1497270425 Peter A Wirkowski Pharmacist 1730 W 25th St Dept Of, Cleveland, OH 44113-3108 2017-08-10
1376079699 Anna Vanbenschoten Pharmacist 300 25th St Ne, Apt 6034, Cleveland, TN 37311-3991 2017-05-05
1699215772 Patricia Anne Caffrey Pharmacist 9885 Rockside Rd, Suite 157, Cleveland, OH 44125-6273 2017-03-08
1437517737 Souhail Francis Pharmacist 13412 Sprecher Ave, Cleveland, OH 44135-5050 2016-02-02
Find all providers in CLEVELAND

Competitor

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City CLEVELAND
Zip Code 37323

Improve Information

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Dataset Information

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.

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