Angelica Marie Wilder

Primary specialty

PharmacistTaxonomy code 183500000X

License

68798 Issued in TX

Practice address

1802 W Mount Houston Rd
Houston, TX 77038-3604

Phone

(281) 925-2740

NPI assigned

Aug 18, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CVS Pharmacy Inc

  dba CVS Pharmacy # 11278

  • Pharmacy
  • Houston, TX
  • NPI 1376198432
  NPD
• CVS Pharmacy Inc

  dba CVS Pharmacy #17923

  • Pharmacy
  • Stafford, TX
  • NPI 1427931351
  NPD (past)

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1205554888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 W MOUNT HOUSTON RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770383604",
            "telephone_number": "281-925-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 W MOUNT HOUSTON RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770383604",
            "telephone_number": "281-925-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "ANGELICA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "68798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Taylor Wild, OT
• Thomas Wild, DDS
• Dianna Jane Wilde, DDS
• Lynn Wilde, COTA
• Mark C. Wilde, PSY.D.
• Joseph Wilder, MD
• Melissa Lynne Wilder, MPH, RD, LD
• Stephanie Abimbola Olawaiye Wilderness, PA-C
• Kimberly Ann Wildes, DRPH, MA, LPC-I
• Mae Wildredge-Maddock

• Pharmacist in Houston, TX
• Providers in Houston, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.