Active NPI
Kimberly Wiley, PHARM.D.
- Pharmacist
- Ronceverte, WV
National Provider Identifier
1356262398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202206615
- Practice address
- 8468 Seneca TRL S
Ronceverte, WV 24970-9626 - Phone
- (681) 214-7774
- NPI assigned
- Jul 24, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 0202206615 | VA | Primary |
Addresses
Primary practice location
8468 Seneca TRL S
Ronceverte, WV 24970-9626
Mailing address
155 Potomac Crossway
Lewisburg, WV 24901-5122
Other names 1
- Kimberly Dejarnette
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R. Chaffin Drug Co., LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba The Medicine Shoppe 2212
- Community/Retail Pharmacy
- Ronceverte, WV
- NPI 1780483693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1356262398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 POTOMAC CROSSWAY",
"city": "LEWISBURG",
"state": "WV",
"postal_code": "249015122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8468 SENECA TRL S",
"city": "RONCEVERTE",
"state": "WV",
"postal_code": "249709626",
"telephone_number": "681-214-7774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILEY",
"first_name": "KIMBERLY",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-24",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202206615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "DEJARNETTE",
"credential": "PHARM.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ronceverte, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.