Active NPI
Jessica Wiley, RPH
- Pharmacist
- Greensboro, NC
National Provider Identifier
1073844098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13779
- Practice address
- 4620 Woody Mill Rd Ste B
Greensboro, NC 27406-8779 - Phone
- (336) 674-5518
- Fax
- (336) 674-5590
- NPI assigned
- Jan 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13779 | NC | Primary |
Addresses
Primary practice location
4620 Woody Mill Rd Ste B
Greensboro, NC 27406-8779
Mailing address
4620 Woody Mill Rd Ste B
Greensboro, NC 27406-8779
Phone (336) 674-5518
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13779 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Drug & Home Delivery, LLC | Pharmacist | Past | Accepting new patients |
| Piedmont Drug & Home Delivery, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Greensboro, NC
- NPI 1538496179
-
- Pharmacist
- Greensboro, NC
- NPI 1578968806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410393600000",
"number": "1073844098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4620 WOODY MILL RD STE B",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274068779",
"telephone_number": "336-674-5518",
"fax_number": "336-674-5590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4620 WOODY MILL RD STE B",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274068779",
"telephone_number": "336-674-5518",
"fax_number": "336-674-5590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILEY",
"first_name": "JESSICA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-15",
"last_updated": "2014-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "13779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.