William Glen Wiley, RPH

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

0202204895 Issued in VA

Practice address

1904 Emmet St N
Charlottesville, VA 22901-2815

Phone

(434) 295-2132

Fax

(434) 295-0677

NPI assigned

Dec 3, 2010

Last updated

Dec 3, 2010By 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

Registered Pharmacist

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.

• Kroger Limited Partnership I

  dba Kroger Pharmacy

  • Community/Retail Pharmacy
  • Charlottesville, VA
  • NPI 1538184254
  NPD (past)
• Kroger Limited Partnership I

  dba Kroger Pharmacy #473

  • Community/Retail Pharmacy
  • Newport, KY
  • NPI 1104791078
  NPD (past)

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1639471147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 LICKINGHOLE RD",
            "city": "GOOCHLAND",
            "state": "VA",
            "postal_code": "230633821",
            "telephone_number": "804-385-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 EMMET ST N",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012815",
            "telephone_number": "434-295-2132",
            "fax_number": "434-295-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "WILLIAM",
        "middle_name": "GLEN",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "VA",
            "license": "0202204895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Wildeman, M.D.
• Rebecca Wilder, DC
• Robert P. Wilder
• James Freeman Wiley III, DO
• Mary H Wiley, PT
• Miles L Wilhelm, D.M.D.
• Stephanie Richardson Wilhelm, CRNP
• Robert Edward Wilkerson Jr., DDS
• Kristi Denise Wilkins, MSN, RN, CCRN, CCNS
• Luke R. Wilkins, M.D.

• Pharmacotherapy Pharmacist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Pharmacotherapy Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.