Andre Wiltshire, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RPH032773 Issued in GA

Practice address

3505 Centerville Hwy
Snellville, GA 30039-6405

Phone

(770) 736-2157

NPI assigned

Apr 9, 2021

Last updated

Jun 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walgreen Co

  dba Walgreens #10248

  • Pharmacy
  • Snellville, GA
  • NPI 1508992298
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1154901585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 TRED AVON WAY SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473235",
            "telephone_number": "404-697-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 CENTERVILLE HWY",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300396405",
            "telephone_number": "770-736-2157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7207 Rockbridge Rd",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300876320",
            "country_code": "US",
            "telephone_number": "770-469-2002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILTSHIRE",
        "first_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "GA",
            "license": "RPH032773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.cvs.com",
            "affiliation": "N",
            "address_1": "7207 Rockbridge Rd",
            "city": "Stone Mountain",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300876320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melinda A Willingham, MD
• Michael Roy Willman, DO
• Carrie Wilson, CPNP
• Jennifer L Wilson
• Marica Wilson, RBT
• Kerry-Ann Winchell, LPC
• Jeff P Winemiller, RPH
• Samuel Awuah Winful, NP
• Anthony Wingfield, RBT
• Wisdom Center

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Snellville, GA
• Providers in Snellville, GA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.