Kimberly Yvonne Wiggins, PHARMD
Individual provider Active NPI Pharmacist · Easley, SC
NPI 1578031993 · NPPES record last updated Nov 15, 2018
Key facts
- NPI
- 1578031993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 37909 (SC)
- Practice address
- 5269 Calhoun Memorial Hwy
Easley, SC 29640-3865 - Phone
- (864) 859-7168
- NPI assigned
- Nov 2, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37909 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 37909 | SC | Yes |
Addresses
Primary practice location
5269 Calhoun Memorial Hwy
Easley, SC 29640-3865
Mailing address
35 S Main St
Greenville, SC 29601-2708
Other practice location 1
35 S Main St
Greenville, SC 29601-2708
Phone (864) 307-4848
Other providers in Easley, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2018. 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.