Active NPI
Gary K Wiles
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Springdale, AR
National Provider Identifier
1881024958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- AR 06408
- Practice address
- 1375 Market Square Dr
Springdale, AR 72762-4984 - Phone
- (479) 750-7856
- NPI assigned
- Nov 26, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | AR 06408 | AR | Primary |
Addresses
Primary practice location
1375 Market Square Dr
Springdale, AR 72762-4984
Mailing address
1375 Market Square Dr
Springdale, AR 72762-4984
Phone (479) 750-7856
Other names 1
- Gary K Wiles
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AR 06408 | AR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385424000000",
"number": "1881024958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1375 MARKET SQUARE DR",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727624984",
"telephone_number": "479-750-7856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 MARKET SQUARE DR",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727624984",
"telephone_number": "479-750-7856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILES",
"first_name": "GARY",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-26",
"last_updated": "2013-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "AR",
"license": "AR 06408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GARY",
"last_name": "WILES",
"middle_name": "K",
"credential": "RPH",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.