Wildel, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WILDEL, LLC

Practice address

4740 Jackson Street Ext
Alexandria, LA 71303-2505

Phone

(318) 448-2445

Fax

(318) 448-9626

NPI assigned

Jun 14, 2007

Organization subpart

No

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

Authorized official

Name

Michelle Williams, RPH

Title

Owner Pharmacist

Phone

(318) 448-2445

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Pill Box Pharmacy Doing business as

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1649474453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 JACKSON STREET EXT",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032505",
            "telephone_number": "318-448-2445",
            "fax_number": "318-448-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 JACKSON STREET EXT",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032505",
            "telephone_number": "318-448-2445",
            "fax_number": "318-448-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDEL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "318-448-2445",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1217042",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "1933250",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pill Box Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Rud Whittington, DC
• Sarah Ann Whittington, BSN, RN, CCRN
• Kai Alexandria Wicker Brown, MD
• Miriam J Wilbon, PA
• Wildel, LLC
• Wildel, LLC
• Jeremy Matthew Wiley, MSN, APRN, FNP-C
• Hailee Cne Wilkins
• Alaiyia Nicole Williams, LCSW
• Arsenno Williams, LCSW

• Community/Retail Pharmacy in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.