Tami Jade Wyly, RPH

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

26020914A Issued in IN

Practice address

11101 Pendleton Pike
Indianapolis, IN 46236-2845

Phone

(317) 823-3240

NPI assigned

Sep 19, 2022

Last updated

Sep 19, 2022By the provider in NPPES

Sex

Female

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

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1477275295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8539 GLEN SCOTT LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462368572",
            "telephone_number": "317-579-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11101 PENDLETON PIKE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462362845",
            "telephone_number": "317-823-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYLY",
        "first_name": "TAMI",
        "middle_name": "JADE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "IN",
            "license": "26020914A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noel Wayne Wyatt, LCSW
• Dan Hall Wych, PH.D. HSPP
• Elizabeth Wyeth, LDH
• Jacqueline H Wylam, AUD
• Kaylen Michelle Wylie, LMHC, LPCC, ATR
• Maryjane E Wymore, L.M.H.C
• Wyndmoor of Castleton (The Wyndmoor of Castleton)
• Brian Paul Wynia, DO
• Courtney Wynn
• Malynda Suzanne Wynn, MD

• Ambulatory Care Pharmacist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Ambulatory Care Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.