Brandy Lynn Wiley

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

5301007904 Issued in MI

Practice address

11301 Brooklyn Rd
Brooklyn, MI 49230-8485

Phone

(517) 592-2475

NPI assigned

Jan 18, 2021

Last updated

Jan 18, 2021By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Country Market Pharmacies LLC

  dba Country Market Pharmacy 66

  • Community/Retail Pharmacy
  • Brooklyn, MI
  • NPI 1346344306
  NPD (past)
• Country Market Pharmacies LLC

  dba Country Market Pharmacy 12

  • Community/Retail Pharmacy
  • Chelsea, MI
  • NPI 1528162583
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1013506641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 BROOKLYN RD",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "492308485",
            "telephone_number": "517-592-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 BROOKLYN RD",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "492308485",
            "telephone_number": "517-592-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "BRANDY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MI",
            "license": "5301007904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary Watson
• Weatherwax Family Pharmacies Inc
• Steven Leslie Weatherwax
• Jarred Nathaniel Webb, LMSW
• Angela Marie Wenger
• Woodward Detroit CVS, L.L.C. (CVS Pharmacy #08041)
• Justice Steven Wozny, LPTA
• Caitlyn Young
• Julayne Kay Young, MSM, PA-C

• Pharmacy Technician in Brooklyn, MI
• Providers in Brooklyn, MI by specialty
• Pharmacy Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.