Wyatt Dickson Bailey, PHARMD
Individual provider Active NPI Pharmacist · Tuscaloosa, AL
NPI 1194646570 · NPPES record last updated Jul 22, 2026
Key facts
- NPI
- 1194646570
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 21100 (AL)
- Practice address
- 809 University Blvd E
Tuscaloosa, AL 35401-2071 - Phone
- (205) 759-7282
- NPI assigned
- Jul 22, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Pharmacist | 1835C0205X | 21100 | AL | |
| Pharmacotherapy Pharmacist | 1835P1200X | 21100 | AL | |
| Pharmacist | 183500000X | 21100 | AL | Yes |
Addresses
Primary practice location
809 University Blvd E
Tuscaloosa, AL 35401-2071
Mailing address
1722 Duval St
Tuscaloosa, AL 35406-2037
Phone (256) 490-3797
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.