- Adam Landers, PharmD, BCPS, CPP, Emergency Medicine PGY2 Director
- Adam graduated from the University of Georgia College of Pharmacy in 2005. After completing his residency training at the University of Wisconsin Hospital and Clinics in 2006, Adam took his first job at Columbus Regional Medical Center in Columbus, Georgia. Here he worked as a clinical pharmacist in a variety of areas including adult medicine, oncology, psychiatry, neurology, pediatric oncology and emergency medicine. He began full time as an emergency medicine clinical pharmacist at Mission Hospital in 2008, where he continues his career.
- During his career at Mission, Adam has taken part in a number of expansions to the role of clinical pharmacist services within the emergency department. He also is part of an interdepartmental CODE STROKE team and has facilitated the implementation of bedside tPA admixture. Outside of pharmacy, Adam enjoys reading, traveling, spending time with family and friends, playing old-time music (fiddle and bass) and all of the other outdoor activities Western North Carolina has to offer.
- Erika Herman, PharmD, CPP
- Erika graduated from Drake University College of Pharmacy and Health Sciences in 2009. After completing her residency training at Mission Health in 2010, Erika remained at Mission and took her first full-time position as a clinical float pharmacist. She has worked in a variety of areas including emergency medicine, pediatrics, adult medicine, infectious disease and cardiology. She began full-time as an emergency medicine clinical pharmacist at Mission Hospital in 2013.
- Erika is currently working to expand pediatric services in the emergency department. During her career at Mission, she has been involved in numerous projects benefitting patients and the department of pharmacy including pharmacist scheduling. Outside of pharmacy, Erika enjoys traveling, taking advantage of the restaurants and music Asheville has to offer, and, most importantly, spending time with her husband, son, Peirce, and daughter, Nola.
- Nikki Wargo, PharmD
- Nikki graduated from Creighton University School of Pharmacy in 2002. After completing her residency at The Texas Heart Institute, St. Luke’s Episcopal Hospital in Houston, Texas, Nikki began working as a Cardiac Clinical Specialist at Huntsville Hospital in Huntsville, Alabama, where she worked for 12 years. She served as the primary resident preceptor for both PGY-1s and PGY-2s for their cardiology rotation. She was active in many committees and helped develop numerous protocols as well as developing their STEMI response team. Nikki also served as the research Pharmacist for all cardiology studies performed with Oracle Research in Huntsville, Alabama. Nikki joined Mission Hospital in July 2015 as a part-time ED Pharmacist. Nikki’s main areas of interest include cardiology and code response.
- Outside of Pharmacy, Nikki enjoys spending time with her husband and three children. They are very active in sports including soccer, gymnastics, basketball and golf. They also love spending time hiking and exploring areas in WNC.
- Andy Bell, PharmD, BCPS
- Andy graduated from University of Tennessee College of Pharmacy in 2007. After completing his residency at The Memphis Veterans Affairs Medical Center in Memphis, Tennessee, Andy began working as a Critical Care Clinical Pharmacy Specialist in the Medical ICU at the Memphis VA. Andy held faculty appointments in the College of Pharmacy and College of Medicine, and served as primary preceptor for PGY-1 pharmacy practice residents and pharmacy students on their critical care clerkship. In 2013, Andy moved to Phoenix, Arizona, to serve as the Associate Chief of Clinical Pharmacy Services at the Phoenix VA Health Care System. During his time in Memphis and Phoenix, Andy was active member of many committees, investigator/co-investigator for research projects and helped develop numerous protocols as part of quality improvement teams. Andy also coordinated the pharmacokinetic service and served as the lead instructor for the ACLS training program at the Memphis VA. Andy joined Mission Hospital in March 2015 as a full-time ED Clinical Pharmacist. Andy’s main areas of interest include critical care and infectious diseases.
- Outside of Pharmacy, Andy enjoys spending time traveling and enjoying the great outdoors with his family and friends.
- Trey Wingerson, PharmD
- Trey graduated from University of North Carolina’s Eshelman College of Pharmacy in 2014. Since completing a PGY-1 residency as well as a PGY-2 residency in Emergency Medicine here at Mission Hospital in Asheville, North Carolina, Trey began working as a Psychiatric Clinical Pharmacy Specialist just prior to joining the Emergency Medicine team in 2018. Trey’s main areas of interest include toxicology, psychiatry, and critical care.
- Trey spends his time outside of work cooking, reading, and exploring the mountains in his Jeep. He most of all enjoys spending time with friends and family – a wife, two daughters, and a husky. He can be found most weekends in the Fall watching NCSU football.
- Rylee Rankin, PharmD, BCPS
- Rylee graduated from the University of South Carolina College of Pharmacy in 2016. Since completing a PGY-1 residency as well as a PGY-2 residency in Emergency Medicine here at Mission Hospital in Asheville, North Carolina, Rylee has began working as a Clinical Pharmacist on the float team with much of her time being spent in the Emergency Department. Rylee’s main areas of interest include toxicology, emergency medicine, and critical care.
- Rylee spends her time outside of work exploring the mountains and the local food and music scene. She enjoys spending time with friends and family, and rooting for the Gamecocks on Saturday afternoons.
About Our Team
Emergency services at Mission Hospital include clinical pharmacist coverage in the emergency department 7 days a week from 8 am to 3 pm. During these hours there are always one to three clinical pharmacists staffing within the department. Pharmacy services include (but are not limited to) prospective order review (computerized physician order entry – CPOE), antimicrobial culture follow-up, drug information, response to code situations (cardiac arrests, STEMIs, strokes, traumas, etc.), patient education, protocol development and interdepartmental committee participation. A collaborative practice agreement with emergency medicine physicians enables designated clinical pharmacists in the emergency department at Mission to exercise limited prescriptive privileges under The Clinical Pharmacist Practitioner (CPP) Act in North Carolina (21 NCAC 46.3101). There are also nine certified pharmacy technicians employed in the emergency department (20 hours a day, 7 days a week) to obtain patient medication histories used in the medication reconciliation process.
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