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1851812077 NPI number — GRETCHEN SCHMIDT WILDER PHARM.D

NPI Number: 1851812077
Health Care Provider/Practitioner: GRETCHEN SCHMIDT WILDER PHARM.D

Information about “1851812077” NPI (GRETCHEN SCHMIDT WILDER PHARM.D) exists in 1851812077 in HTML format HTML  |  1851812077 in plain Text format TXT  |  1851812077 in PDF (Portable Document Format) PDF  |  1851812077 in an XML format XML  formats.

NPI Number : 1851812077 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851812077",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILDER",
    "FirstName": "GRETCHEN",
    "MiddleName": "SCHMIDT",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHARM.D",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WILDER",
    "OtherFirstName": "GRETCHEN",
    "OtherMiddleName": "GAIL AMY",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "PHARM.D",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "91 TRAVIS CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GAITHERSBURG",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20879-3315",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "301-351-9423",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "18169 TOWN CENTER DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OLNEY",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "20832-1482",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "301-260-1401",
    "PracticeLocationAddressFaxNumber": "301-260-1371",
    "EnumerationDate": "06/28/2017",
    "LastUpdateDate": "06/28/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "12541",
        "LicenseNumberStateCode": "MD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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