Annita Wilson, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

03223058 Issued in OH

Practice address

36195 Euclid Ave
Willoughby, OH 44094-4410

Phone

(440) 975-1983

Fax

(440) 520-7148

NPI assigned

Feb 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Annita Oliver Former name

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": "1613260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613260800000",
    "number": "1083207757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 E 244TH ST",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441231432",
            "telephone_number": "216-394-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36195 EUCLID AVE",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944410",
            "telephone_number": "440-975-1983",
            "fax_number": "440-520-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ANNITA",
        "name_prefix": "Mrs.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-14",
        "last_updated": "2021-02-14",
        "certification_date": "2021-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03223058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNITA",
            "last_name": "OLIVER",
            "prefix": "MISS",
            "credential": "R.PH.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Willoughby Therapy Inc
• Willoughby-Eastlake City SD
• Stella M Willoughby
• Amelia Ann Wilmot
• Gina Wilms, RN
• Danielle Marie Wilson
• Robert Anthony Wilson, RN
• Tahne Wilson
• Jennifer June Wineberg, LPC
• Justin Carl Wirick, D.C.

• Pharmacist in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2021; 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.