Individual provider Active NPI

Jessica Wiley, RPH

  • Pharmacist
  • Greensboro, NC
National Provider Identifier
1073844098
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13779 Issued in NC
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

Updated by the provider on Sep 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
13779NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.