Kimberly Wieter, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051286171 Issued in IL

Practice address

790 W. McCord St.
Centralia, IL 62801

Phone

(618) 532-2200

Fax

(618) 533-0566

NPI assigned

Nov 15, 2020

Last updated

Oct 24, 2025By the provider in NPPES

Sex

Female

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

Locations

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.

• WB Drug Company Inc

  dba Byrd-Watson Drug Long Term Care

  • Long Term Care Pharmacy
  • Centralia, IL
  • NPI 1437915626
  NPD Authorized official
• WB Drug Company Inc

  dba Byrd-Watson Drug #2

  • Community/Retail Pharmacy
  • Centralia, IL
  • NPI 1780387019
  NPD
• Byrd-Watson Times Square Drug Co

  dba Byrd-Watson Pharmacy LTC

  • Long Term Care Pharmacy
  • Mount Vernon, IL
  • NPI 1043997182
  NPD (past)
• Byrd-Watson Times Square Drug Co

  dba Byrd-Watson Pharmacy

  • Community/Retail Pharmacy
  • Mount Vernon, IL
  • NPI 1598775413
  NPD (past)

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

{
    "created_epoch": "1605398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1821690728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 W. MCCORD ST.",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "62801",
            "telephone_number": "618-532-2200",
            "fax_number": "618-533-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 W. MCCORD ST.",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "62801",
            "telephone_number": "618-532-2200",
            "fax_number": "618-533-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIETER",
        "first_name": "KIMBERLY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-15",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051286171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dezzerae Westbrook
• John Franklin Whipps, DMD
• Kennah White
• Shae N Whitelow, BS, CADC
• Brooke Nicole Whittington, SLP
• Williams Chiropractic Office PLLC
• Kurt S Williams, DC
• Leah Williams
• Leslie Ann Williams, FNP
• Mark E Williams, DC

• Pharmacist in Centralia, IL
• Providers in Centralia, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.