TONYA J. WILDERMAN RPH – NPI #1750622163
Pharmacist

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.

TONYA WILDERMAN is a pharmacist located in GRAND CHUTE, WI. NPPES has assigned the NPI number 1750622163 to TONYA WILDERMAN on March 10, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name TIMOTHY JON WILDERMAN. The primary taxonomy selected by this provider is 183500000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist.

The NPI profile was previously updated about 8 years ago on Oct 17, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TONYA WILDERMAN below.

NPI Profile for
TONYA J. WILDERMAN

NPI Number
1750622163
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
TONYA J. WILDERMAN
Former Name: TIMOTHY JON WILDERMAN
Credentials
RPH
Primary location
1400 N MCCARTHY RD
APT 2
GRAND CHUTE, WI 54913
Phone: (414) 331-7531 Fax: (414) 463-1112
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
183500000X
- Pharmacist (Primary)
WI 10979

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.