Organization Active NPI

Wiley Pharmacy of Quarryville, Inc.

  • Pharmacy
  • Quarryville, PA
National Provider Identifier
1790770709
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP415510L Issued in PA
Legal business name
WILEY PHARMACY OF QUARRYVILLE, INC.
Practice address
112 Townsedge Dr
Quarryville, PA 17566-1300
Phone
(717) 786-1191
Fax
(717) 786-1228
NPI assigned
Sep 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Mr. John R Wiley, RPHNPI 1568457158
Title
Owner / Vice President
Phone
(717) 786-1191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP415510L PA Primary

Addresses

Primary practice location

112 Townsedge Dr
Quarryville, PA 17566-1300

Mailing address

112 Townsedge Dr
Quarryville, PA 17566-1300
Phone (717) 786-1191

Other identifiers 1

IdentifierTypeStateIssuer
0017490780001MedicaidPA

National Provider Directory

National Provider Directory

Locations

112 Townsedge Dr
Quarryville, PA 17566
Phone (717) 786-1191

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1790770709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 TOWNSEDGE DR",
            "city": "QUARRYVILLE",
            "state": "PA",
            "postal_code": "175661300",
            "telephone_number": "717-786-1191",
            "fax_number": "717-786-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 TOWNSEDGE DR",
            "city": "QUARRYVILLE",
            "state": "PA",
            "postal_code": "175661300",
            "telephone_number": "717-786-1191",
            "fax_number": "717-786-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILEY PHARMACY OF QUARRYVILLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER / VICE PRESIDENT",
        "authorized_official_telephone_number": "717-786-1191",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP415510L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017490780001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quarryville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.