KYLE WILSON (NPI# 1740899988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740899988 |
| Entity Type | Individual |
| Full Name | KYLE WILSON |
| Credential | PHARMD |
| Practice Address |
2013 University Ave Oxford MS 38655-3511 |
| Mailing Address |
1178 Highway 9 S Lot 2 Blue Springs MS 38828-9171 |
| Practice Telephone | 6622366811 |
| Mailing Telephone | 6623222134 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
E-16618 | MS | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114271210 | Kyle J Wilson | Hearing Instrument Specialist | 1033 N Bagley St, Alpena, MI 49707-8215 | 2012-10-29 |
| 1699073965 | Kyle Wilson | Pharmacist | 2611 E 1100 N, Pendleton, IN 46064-9400 | 2011-03-10 |
| 1538396999 | Kyle A. Wilson | Dentist | 3575 Lakota Trl Ste 200, Mckinney, TX 75070-3601 | 2009-06-12 |
| 1548886708 | Kyle Wilson | Emergency Medicine | 2545 Schoenersville Rd, Bethlehem, PA 18017-7300 | 2020-06-23 |
| 1265066419 | Kyle Riley Wilson | Student in an Organized Health Care Education/Training Program | 301 University Blvd, Galveston, TX 77555-5302 | 2020-02-26 |
| 1215499488 | Kyle David Wilson | Student in an Organized Health Care Education/Training Program | 3110 Maccorkle Ave Se, Charleston, WV 25304-1210 | 2019-04-04 |
| 1528546678 | Kyle Lawrence Wilson | Internal Medicine | 982055 Nebraska Medical Ctr, Omaha, NE 68198-2055 | 2018-07-31 |
| 1134659436 | Kyle Wilson | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh B1d502, Ann Arbor, MI 48109 | 2017-06-19 |
| 1891144358 | Kyle Joseph Wilson | Pharmacist | 111 S Grant Ave, Columbus, OH 43215-4701 | 2016-06-06 |
| 1013396787 | Kyle Wilson | Pharmacist | 906 Main St, Rochester, IN 46975-1740 | 2015-05-27 |
| Street Address |
2013 UNIVERSITY AVE |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-3511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659305431 | Kroger Limited Partnership I | Pharmacy | 2013 University Ave, Oxford, MS 38655-3511 | 2006-07-10 |
| 1699313627 | Billy Alan Simmons | Pharmacist | 2013 University Ave, Oxford, MS 38655-3511 | 2019-12-20 |
| 1376843409 | Susan Louise Turnage | Pharmacist | 2013 University Ave, Oxford, MS 38655-3511 | 2010-10-22 |
| 1275766214 | Robert Anthony Grant | Pharmacist | 2013 University Ave, Oxford, MS 38655-3511 | 2009-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| 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 |
|---|---|---|---|---|
| 1891393229 | Peggy Ann Hughes | Pharmacist | 300 S Locust St, Oxford, OH 45056-2125 | 2020-10-16 |
| 1386242931 | Warren Paul Sizemore | Pharmacist | 300 S Locust St, Oxford, OH 45056-2125 | 2020-10-15 |
| 1043818594 | Sherri Heiman | Pharmacist | 300 S Locust St, Oxford, OH 45056-2125 | 2020-10-15 |
| 1912420829 | Tanya Mcginnis Van Cleave | Pharmacist | 601 Snow St, Oxford, AL 36203-1270 | 2017-07-23 |
| 1760788624 | Matthew W Strum | Pharmacist | 512 Azalea Dr, Oxford, MS 38655-8100 | 2011-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467085274 | Kenneth Martin | Pharmacist | 1811 West Govt St, Brandon, MS 39042-2106 | 2020-02-20 |
| 1316585581 | Deborah Magoun Rosenbaum | Pharmacist | [email protected], 4910 I-55 North, Jackson, MS 39211 | 2019-12-18 |
| 1326686932 | Joshua Brett Manning | Pharmacist | Kroger, 2340 Highway 15 N, Laurel, MS 39440-1831 | 2019-12-13 |
| 1023585296 | Brenda M Wise | Pharmacist | 301 Fisher St # 2b, Biloxi, MS 39534-2508 | 2018-10-25 |
| 1508311028 | Koshy Mathew | Pharmacist | 122 Mcdill Cv, Madison, MS 39110-6562 | 2016-08-25 |
| 1992106413 | Roland Mullins Jr. | Pharmacist | 301 Fisher St Rm 309b, Keesler Afb, MS 39534-2508 | 2014-09-16 |
| 1124432679 | Tara Lynn Felder | Pharmacist | 1121 Hwy 98/51, Summit, MS 39666 | 2014-06-12 |
| 1912333956 | Carman G Cochran | Pharmacist | 68 Buffalo Rd, Mc Lain, MS 39456-2330 | 2013-09-23 |
| 1902239197 | Melanie Hammill Bishop | Pharmacist | 427 Ms Highway 51 North, Brookhaven, MS 39601 | 2013-08-12 |
| 1578833299 | April Malone | Pharmacist | 208 S 27th Ave, Hattiesburg, MS 39401-7173 | 2012-01-11 |
| Find all providers with the same taxonomy | ||||
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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.