Amy Nicole Wiley, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

17826 Issued in NC

Practice address

34 Miller St
Winston Salem, NC 27104-4212

Phone

(336) 724-3711

NPI assigned

Dec 7, 2018

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Publix North Carolina LP

  • Community/Retail Pharmacy
  • Winston Salem, NC
  • NPI 1700246717
  NPD
• Publix North Carolina, LP

  • Community/Retail Pharmacy
  • Charlotte, NC
  • NPI 1578360525
  NPD (past)

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1104397736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 CHILLINGHAM CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274058318",
            "telephone_number": "919-619-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MILLER ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271044212",
            "telephone_number": "336-724-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "AMY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-07",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "17826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Francis Wigton, M.S., CCC-SLP
• Sanita Wilcox
• Farrah L Wilde
• Barbara Specht Wilder, CCC-SLP
• Daniel H. Wilemon, L.P.C.
• Kevin Wiley
• Kristin Anne Wiley, M.S.
• Tammie Frazier Wiley, MD
• Caitlin Harley Wilhelm, CCC-SLP
• Matthew Ryan Wilhelm, RD, LDN

• Pharmacist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.