DEBORAH WILSON (NPI# 1689608119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689608119 |
| Entity Type | Individual |
| Full Name | DEBORAH WILSON |
| Credential | PHARM.D. |
| Practice Address |
1481 W 10th St Indianapolis IN 46202-2803 |
| Practice Telephone | 3179882144 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
26021141A | IN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700434669 | Deborah D Wilson | Technician | 3005 Bladensburg Rd Ne Apt 214, Washington, DC 20018-2239 | 2019-09-03 |
| 1841759412 | Deborah Lynn Wilson | Massage Therapist | 47 East Main St., Suite 202, Buckhann, WV 26201 | 2019-03-13 |
| 1215238761 | Deborah J Wilson | Psychologist | 2818 Stephens Hwy, Mount Holly, AR 71758-6095 | 2010-11-15 |
| 1780991752 | Deborah Wilson | Nurse Practitioner | 5690 Parkway Dr, Gloucester, VA 23061-3782 | 2010-09-11 |
| 1811212830 | Deborah Champlin Wilson | Nurse Practitioner | 7541 Buccaneer Ave, North Bay Village, FL 33141-4111 | 2010-04-01 |
| 1588800932 | Deborah Jan Wilson | Speech-Language Pathologist | State Rd 531, Chama Valley Schools, Tierra Amarilla, NM 87575 | 2009-01-06 |
| 1013164094 | Deborah J Wilson | Speech-Language Pathologist | 5240 Ferrari Dr, Colorado Springs, CO 80922-4503 | 2008-08-21 |
| 1821274697 | Deborah Ann Wilson | Physical Therapist | 2650 Sunset Dr, Red Oak, TX 75154-2022 | 2008-01-11 |
| 1952582892 | Deborah Ann Wilson | Speech-Language Pathologist | 4508 E 13th St, Vancouver, WA 98661 | 2007-11-20 |
| 1184826752 | Deborah Jean Wilson | Registered Nurse | 1303 Catalpa Dr, Dayton, OH 45406 | 2007-06-04 |
| Street Address |
1481 W 10TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346244258 | Mildred Sue Mcmanus | Nurse Practitioner | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2005-06-08 |
| 1174124002 | Syreeta Diane Adams | Social Worker | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-11-06 |
| 1083214126 | Angela Marie Whereatt | Social Worker | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-10-28 |
| 1679173132 | Jennifer Smith | Social Worker | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-10-26 |
| 1043817745 | Leah Whitmire | Music Therapist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-10-06 |
| 1831705730 | Lynnette Rosa Biviano | Social Worker | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-09-17 |
| 1881208114 | Jessica Lee Fromm | Social Worker | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-09-03 |
| 1770193104 | Jordan Kirk Trively | Pharmacist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-07-31 |
| 1942819263 | Vanessa Marie Street | Nurse Practitioner | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-07-23 |
| 1831717248 | Allissa Long | Pharmacist | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2020-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922415066 | Meredith L Howard | Pharmacist | 1701 N Senate Ave # Ag401, Indianapolis, IN 46202-5306 | 2014-07-21 |
| 1558608604 | Jonathan O Onuorah | Pharmacist | 10076 Split Rock Way, Indianapolis, IN 46234-3192 | 2013-01-09 |
| 1457633356 | James E Carr | Pharmacist | 8923 S Meridian St, Indianapolis, IN 46217-6065 | 2011-09-15 |
| 1154603298 | Kimberly Elder | Pharmacist | 830 Gardenbrook Cir Apt K, Indianapolis, IN 46202-4657 | 2011-09-14 |
| 1235371170 | Winton Dennis Jones | Pharmacist | 7339 Brackenwood Dr, Indianapolis, IN 46260-5445 | 2009-03-24 |
| 1629192901 | Tate N Trujillo | Pharmacist | 1701 Senate Blvd # Ag401, Indianapolis, IN 46202-1239 | 2007-03-19 |
| 1093848707 | Jeanne M Chen | Pharmacist | 550 University Blvd # 1451, Indianapolis, IN 46202-5149 | 2007-03-13 |
| 1275610974 | Jeanne Hawkins Vantyle | Pharmacist | 4600 Sunset Ave, Indianapolis, IN 46208-3443 | 2006-11-01 |
| 1376659664 | Melanie Kathryn Kuester | Pharmacist | 1481 W Tenth Street, Indianapolis, IN 46202 | 2006-08-21 |
| 1689603235 | Amy Boldt | Pharmacist | 1481 W 10th St # 119, Indianapolis, IN 46202-2803 | 2006-07-03 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on DEBORAH WILSON.
| 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.