Active NPI
Meredith Wyland
- Pharmacist
- Coralville, IA
National Provider Identifier
1134774987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23674
- Practice address
- 105 E 9TH St Ste a
Coralville, IA 52241-2209 - Phone
- (319) 467-2344
- NPI assigned
- Aug 8, 2019
- 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 | 23674 | IA | Primary |
Addresses
Primary practice location
105 E 9TH St Ste a
Coralville, IA 52241-2209
Mailing address
200 Hawkins Dr # Cc101Gh
Iowa City, IA 52242-1009
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23674 | IA | MD | Pharmacist |
Interoperability endpoints
- mwyland165025@uihcdirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1134774987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DR # CC101GH",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 E 9TH ST STE A",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522412209",
"telephone_number": "319-467-2344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYLAND",
"first_name": "MEREDITH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-08",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "23674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coralville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.