Kierra Mone'T Wilson, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

27182 Issued in MD

Practice address

2300 4TH St NW
Washington, DC 20059-5505

Phone

(202) 806-4207

NPI assigned

Jul 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1447636592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15205 PLANE TREE CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213020",
            "telephone_number": "216-258-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 4TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200595505",
            "telephone_number": "202-806-4207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 N Charles St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212015505",
            "country_code": "US",
            "telephone_number": "410-837-2050 x1080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KIERRA",
        "middle_name": "MONE'T",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MD",
            "license": "27182",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03335013",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keanya Wilson, MSW, LICSW
• Keenan Wilson
• Keria Wilson
• Kerry Lang Wilson
• Keyona Shi Ann Wilson
• Kimberly Wilson, LICSW
• Laurie Dodge Wilson, RN, ANP-BC, GNP-BC
• Lawann Donnise Wilson
• Leanette Wilson
• Leon Wilson, HHA

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Washington, DC
• Providers in Washington, DC by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.