Jennifer Wilsie

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

VA00041374 Issued in WA

Practice address

7041 Pacific Ave
Tacoma, WA 98408-7220

Phone

(253) 474-0115

NPI assigned

Aug 8, 2022

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jennifer.wilsie@riteaid.com

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1750018990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7041 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087220",
            "telephone_number": "253-474-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7041 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087220",
            "telephone_number": "253-474-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSIE",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "WA",
            "license": "VA00041374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VA00041374",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jennifer.Wilsie@Riteaid.com",
            "affiliation": "N",
            "address_1": "7041 Pacific Ave",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984087220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katrina Diane Willis
• Amanda M Wills, PSY.D.
• Xylina Rae Wilmarth
• Brianne Kathleen Wilmor
• Katherine Lambos Wilsey, PSY.D.
• Wilson Clinical Services, PLLC.
• Tomi Lynn Wilson-Keiser, MS, CCC-SLP
• Aleesha Marie Wilson, LMT
• Alicia Wilson
• Anne Janette Wilson, PA-C

• Pharmacy Technician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Pharmacy Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.