DR. REBECCA MILLER WISE (NPI# 1770606162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770606162 |
| Entity Type | Individual |
| Full Name | DR. REBECCA MILLER WISE |
| Credential | RPH, PHARMD, MED |
| Practice Address |
1858 W Grandview Blvd Bayfront Campus - Lecom Mtm Services Erie PA 16509-1025 |
| Practice Telephone | 8148682584 |
| Practice Fax Number | 8148682589 |
| Mailing Telephone | 8148682584 |
| Mailing Fax Number | 8148682589 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2012-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP440472 | PA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | LECOM MTM SERVICES NPI | 1760736870 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053828418 | Rebecca Wise | Social Worker | 15 Spinning Wheel Rd, Hinsdale, IL 60521-2914 | 2018-01-08 |
| 1891100954 | Rebecca Wise | Pediatrics | 49650 Cherry Hill Rd Ste 210, Canton, MI 48187-4859 | 2014-06-27 |
| 1700210887 | Rebecca Leigh Wise | Speech-Language Pathologist | 4477 9th Ave Ne, Rio Rancho, NM 87124-5634 | 2013-08-26 |
| 1881993228 | Rebecca Alicia Wise | Pharmacist | 500 Northside Dr E, Statesboro, GA 30458-4841 | 2011-03-24 |
| 1033417597 | Rebecca A Wise | Occupational Therapist | 6506 Loisdale Rd, Suite 302, Springfield, VA 22150-1824 | 2011-03-08 |
| 1598938227 | Rebecca Mcswain Wise | Registered Nurse | 13 S High St, Morgantown, WV 26501-7546 | 2008-04-02 |
| Street Address |
1858 W GRANDVIEW BLVD BAYFRONT CAMPUS - LECOM MTM SERVICES |
| City | ERIE |
| State | PA |
| Zip Code | 16509-1025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386679470 | Hannah R Howell | Pharmacist | 1858 W Grandview Blvd, Erie, PA 16509-1025 | 2006-07-11 |
| 1578198115 | Trisha Sofia Galicia Emborgo | Student in an Organized Health Care Education/Training Program | 1858 W Grandview Blvd, Erie, PA 16509-1025 | 2020-03-04 |
| 1821550153 | Hershey Sheldon Bell | Family Medicine | 1858 W Grandview Blvd, Erie, PA 16509-1025 | 2019-04-04 |
| 1972971232 | Kristen Marie Gawronski | Pharmacist | 1858 W Grandview Blvd, Erie, PA 16509-1025 | 2015-09-03 |
| 1992185748 | Scarlett Tucker | Student in an Organized Health Care Education/Training Program | 1858 W Grandview Blvd, Erie, PA 16509-1025 | 2015-06-08 |
| 1760736870 | Lecom Mtm Services | Clinic/Center | 1858 W Grandview Blvd, Attn.rebecca Wise-bayfront Campus, Erie, PA 16509-1025 | 2012-10-29 |
| 1275825986 | Bojana Stevich-heemer | Pharmacist | 1858 W Grandview Blvd, Erie, PA 16509-1025 | 2011-05-12 |
| 1598084915 | Randall B Heemer | Pharmacist | 1858 W Grandview Blvd, Erie, PA 16509-1025 | 2010-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598243073 | Austin Dudenhoefer | Physical Therapist | 8270 Peach St Ste 400, Erie, PA 16509 | 2018-08-06 |
| 1770092884 | Latasha Marie Phillips | Social Worker | 5100 Peach Street, Erie, PA 16509 | 2017-09-21 |
| 1932621307 | Mitchell Meagher | Internal Medicine | 5515 Peach St., Attn: Medical Education, Erie, PA 16509 | 2017-07-07 |
| 1760903702 | Tricia Lee Cubitt | Social Worker | 4756 Springview Drive, Apartment 310, Erie, PA 16509 | 2017-06-29 |
| 1790191617 | Ashley Russell | Physical Therapy Assistant | 1267 South Hill Road, Erie, PA 16509 | 2014-07-11 |
| 1295084085 | Michael David Mccafferty | Internal Medicine | 5332 Rome Court Drive, 301, Erie, PA 16509 | 2012-09-07 |
| 1427303619 | Michelle Mary Dillaene Tobin | Social Worker | 828 W. Gore Road, Erie, PA 16509 | 2012-07-13 |
| 1962761411 | Moshood B Martins | Dentist | 7040 Peach Street, Erie, PA 16509 | 2012-05-03 |
| 1770854549 | Peach Street Dental & Dentures, PC. | Dentist | 7040 Peach St, Erie, PA 16509 | 2012-01-25 |
| 1881989515 | Richard R Sambuchino | Dentist | 4944 Peach Street, Erie, PA 16509 | 2011-06-10 |
| Find all providers in zip 16509 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376153817 | Mary Jane Melto | Pharmacist | 533 Indiana Dr, Erie, PA 16505-2107 | 2020-08-07 |
| 1104458363 | Jeffrey Paul Sedelmyer | Pharmacist | 5349 Gardner Dr, Erie, PA 16509-3003 | 2020-02-06 |
| 1013563147 | Joshua M Botimer | Pharmacist | 232 W 54th St, Erie, PA 16544-0001 | 2019-08-14 |
| 1922579358 | Bobbi Hines | Pharmacist | 6007 Southland Dr, Erie, PA 16509-7833 | 2018-12-11 |
| 1497269062 | Sumaya Ased | Pharmacist | 4408 Hammocks Dr Apt 207, Erie, PA 16506-7427 | 2017-11-19 |
| 1114471778 | Angela Marie Eller | Pharmacist | 300 State St Ste 102, Erie, PA 16507-1428 | 2016-08-11 |
| 1669821518 | Christopher Sedgwick | Pharmacist | 2684 Lakeside Dr, Erie, PA 16511-1252 | 2016-06-10 |
| 1770969370 | Graham Garcia | Pharmacist | 4408 Hammocks Dr Apt 208, Erie, PA 16506-7427 | 2015-08-05 |
| 1700269495 | Lisa Wilcox | Pharmacist | 353 E 6th St, Erie, PA 16507-1609 | 2015-06-30 |
| 1679966501 | Jaime Lynn Babiak | Pharmacist | 533 Erica Dr, Erie, PA 16509-7845 | 2015-03-17 |
| Find all providers in ERIE | ||||
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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.