Wiles Drug Store Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

0000000888 Issued in TN

Legal business name

WILES DRUG STORE INC

Doing business as

Wiles Smith Drug Store

Practice address

1635 Union Ave
Memphis, TN 38104

Phone

(901) 278-6416

Fax

(901) 278-6416

NPI assigned

Apr 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles Nathan Smith, DPH

Title

Pharmacist Owner

Phone

(901) 278-6416

Specialties & licenses 1

Addresses

Other names 1

• Wiles Smith Drug Store Doing business as

Locations

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548480841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38104",
            "telephone_number": "901-278-6416",
            "fax_number": "901-278-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38104",
            "telephone_number": "901-278-6416",
            "fax_number": "901-278-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILES DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "901-278-6416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "0000000888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wiles Smith Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paula F Wilder, FNP
• Robert Michael Wilder Jr.
• Trina J Wilder, NNP
• Wildest Dreams Counseling and Consulting
• Nathan Eric Wilds, MD
• Wiley T Robinson MD
• Kelita Wiley, M.D.
• Kendra Lapri Wiley, LADAC II
• Lanetra Ann Wiley, NP
• Seth Wiley

• Pharmacy in Memphis, TN
• Providers in Memphis, TN by specialty
• Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.