Wileys LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

96 Issued in TN

Legal business name

WILEYS LLC

Doing business as

Wiley's Pharmacy

Practice address

1595 Main Street
Altamont, TN 37301-0157

Phone

(931) 692-3888

Fax

(931) 692-3889

NPI assigned

Oct 13, 2006

Last updated

Feb 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Larry A. Wiley, DPHNPI 1598754541

Title

Pharmacist/Managing Member

Phone

(931) 692-3888

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wiley's Pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Larry Arthur Wiley, DPH

  • Pharmacist
  • Altamont, TN
  • NPI 1598754541
  NPD (past) Authorized official

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1821188632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 MAIN STREET",
            "address_2": "PO BOX 157",
            "city": "ALTAMONT",
            "state": "TN",
            "postal_code": "37301",
            "telephone_number": "931-692-3888",
            "fax_number": "931-692-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 MAIN STREET",
            "city": "ALTAMONT",
            "state": "TN",
            "postal_code": "373010157",
            "telephone_number": "931-692-3888",
            "fax_number": "931-692-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILEYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHARMACIST/MANAGING MEMBER",
        "authorized_official_telephone_number": "931-692-3888",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "96",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3547472",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wiley's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Lynne Horner, RN
• Rocky Top Medical Clinic LLC
• Kimberly Dawn Simmons, RN
• State of Tennessee (Grundy County Health Department)
• Larry Arthur Wiley, DPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.