Stephen J Wild, R.PH

Primary specialty

PharmacistTaxonomy code 183500000X

Practice address

5TH & Roosevelt BLDG 37 NW Corner
Department of Veterans Affairs, GL-Cmop
Hines, IL 60141-5221

Phone

(708) 786-4397

NPI assigned

Mar 5, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1073783072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5TH & ROOSEVELT BLDG 37 NW CORNER",
            "address_2": "GL-CMOP",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601415221",
            "telephone_number": "708-786-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5TH & ROOSEVELT BLDG 37 NW CORNER",
            "address_2": "DEPARTMENT OF VETERANS AFFAIRS, GL-CMOP",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601415221",
            "telephone_number": "708-786-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILD",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Wells, CTRS
• Candice West, RD, LDN
• Amanda Widmer, COMS
• Jeffrey Thomas Wieczorkiewicz, PHARM. D.
• Edward Wiesneth, RD
• Katelin Wilfinger, PHARMD
• Jessica Rachelle Wilkie, LCSW
• Janet L Williams
• Matthew Nakeem Williams, RN
• Sheena Nicole Williamson, LSW

• Pharmacist in Hines, IL
• Providers in Hines, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.