Jamal Kenyatta Wiley, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

43284 Issued in TX

Practice address

7217 Telecom Pkwy Ste 190
Garland, TX 75044-2203

Phone

(469) 814-6900

NPI assigned

Sep 8, 2021

Last updated

Sep 8, 2021By the provider in NPPES

Sex

Male

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

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.

• Baylor Scott & White Health Enterprises, Inc.

  dba Baylor Scott & White Pharmacy #279

  • Community/Retail Pharmacy
  • Brenham, TX
  • NPI 1679246011
  NPD (past)

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1346919859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 SENEY DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750876571",
            "telephone_number": "615-579-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7217 TELECOM PKWY STE 190",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750442203",
            "telephone_number": "469-814-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "JAMAL",
        "middle_name": "KENYATTA",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "43284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Gustav Wiese, D.D.S.
• Jayne Wiggins, MS, RD, LD, CDE
• Jessica Wihowski, WHNP
• Wilcare Hospice LLC
• Kameron Wilding, DDS
• Will Health Care Services Inc
• William Patrick Parks (Parks Eye Care)
• William S. Uthlaut D.C.,P.C. (Broadway Chiropractic)
• Dama Champion Williams, LVN
• Jason Puthottile Williams, M.D.

• Pharmacist in Garland, TX
• Providers in Garland, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.