Rochelle Alice Wild

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

1693757 Issued in FL

Practice address

7310 Manatee Ave W
Bradenton, FL 34209-3441

Phone

(941) 792-1213

NPI assigned

Nov 4, 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

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": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1750098158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 42ND ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342051130",
            "telephone_number": "574-207-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093441",
            "telephone_number": "941-792-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILD",
        "first_name": "ROCHELLE",
        "middle_name": "ALICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "FL",
            "license": "1693757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1693757",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Daniel Wickas, MD
• Susan McNeil Widziunas, RPH.
• Carolina Fernandez Wiebalk, PSY.D.
• Thomas J Wight, OD
• Richard William Wilcox, DDS
• Jessica Lyn Wilde, LCSW
• Julie Wilhite, APRN, FNP-C
• Jawanna Smith Wilkins, DDS
• Julie Wilkinson, PHARMD
• Kerri L Wilkinson, COTA

• Pharmacy Technician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Pharmacy Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.