Regan Z Wild

Primary specialty

PharmacistTaxonomy code 183500000X

License

PST.023519 Issued in LA

Practice address

260 Sam Houston Jones Pkwy
Lake Charles, LA 70611-5603

Phone

(337) 214-6402

Fax

(337) 214-6403

NPI assigned

Oct 29, 2020

Last updated

Oct 29, 2020By the provider in NPPES

Sex

Female

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

State licenses

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1255931036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 SAM HOUSTON JONES PKWY",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706115603",
            "telephone_number": "337-214-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 SAM HOUSTON JONES PKWY",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706115603",
            "telephone_number": "337-214-6402",
            "fax_number": "337-214-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILD",
        "first_name": "REGAN",
        "middle_name": "Z",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.023519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Schultz White, BCBA
• Jared R Whitehead, A.P.R.N.
• Jerry L Whiteman, PHD.
• Charlissa Whitted, LPN
• Alexandra Widcamp - Feagin, DPT
• Errol P. Wilder, M.D.
• Bruce Wiley, M.D.
• Brittany Wilkins
• Kendrick Charles Wilkins
• Veronica Lynne Wilkins, D.C.

• Pharmacist in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.