JENNIFER SUZANNE DUCK WILDER PHARMD
NPI 1588975551
Pharmacist in Jefferson City, TN

Q: What is Jennifer Wilder's NPI number?

The NPI number for Jennifer Wilder is 1588975551. It was assigned to this individual provider in the NPPES registry on June 24, 2010.

Q: What is Jennifer Wilder's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Wilder was last updated on June 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 24, 2010

132 E BROADWAY BLVD, JEFFERSON CITY, TN 37760(865) 471-0548(865) 471-5103 Get Directions Write a Review

NPPES record last updated: June 24, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jennifer Suzanne Duck Wilder Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER SUZANNE DUCK WILDER PHARMD (NPI 1588975551) is an individual pharmacist in Jefferson City, Tennessee, licensed in Tennessee (10101) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1588975551

Entity TypeIndividualFemale

Primary Taxonomy183500000X

Provider Legal NameJENNIFER SUZANNE DUCK WILDERCredential: PHARMD

Location Address132 E BROADWAY BLVDJefferson City, TN 37760-2535

Mailing Address132 E Broadway BlvdJefferson City, TN 37760-2535 · (865) 471-0548 · Fax (865) 471-5103

Phone(865) 471-0548

Fax(865) 471-5103

Sole ProprietorYes

Enumeration DateJune 24, 2010

✔ NPI 1588975551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in TN · 10101

Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

132 E BROADWAY BLVD, Jefferson City, TN 37760

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DOMINIC ANGELO AIOSA PHARMD

Pharmacist