Rachel Octavia Wylie

Primary specialty

PharmacistTaxonomy code 183500000X

License

26028287A Issued in IN

Practice address

1226 Mulberry St
Mount Vernon, IN 47620-1358

Phone

(618) 218-6502

NPI assigned

Feb 20, 2020

Last updated

Feb 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 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": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1003449851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 MULBERRY ST",
            "city": "MOUNT VERNON",
            "state": "IN",
            "postal_code": "476201358",
            "telephone_number": "618-218-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 MULBERRY ST",
            "city": "MOUNT VERNON",
            "state": "IN",
            "postal_code": "476201358",
            "telephone_number": "618-218-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYLIE",
        "first_name": "RACHEL",
        "middle_name": "OCTAVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051301509",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26028287A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26028287A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "r0w03pj.uswal-mart.com",
            "affiliation": "N",
            "endpointDescription": "Work",
            "address_1": "1226 Mulberry St",
            "city": "Mount Vernon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "476201358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Keith Uebelhack, DDS
• Gordon A Vogel, MD
• Jeffrey Watson
• David N. Wells, D.M.D.
• Lindsey Michelle Whitney, DC

• Pharmacist in Mount Vernon, IN
• Providers in Mount Vernon, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.