Active NPI
Tiera M Wiest, PHARM.D
- Pharmacist
- Prairie Du Chien, WI
National Provider Identifier
1922261015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15198-40
- Practice address
- 109 N Marquette Rd
Prairie Du Chien, WI 53821-1512 - Phone
- (608) 326-0581
- NPI assigned
- Jul 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15198-40 | WI | Primary |
| Pharmacist | 183500000X | 23807 | IA |
Addresses
Primary practice location
109 N Marquette Rd
Prairie Du Chien, WI 53821-1512
Mailing address
11091 Hicklin Hollow Rd
Prairie Du Chien, WI 53821-9529
Phone (608) 438-4855
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23807 | IA | MD | Pharmacist |
| 15198-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
109 N Marquette Rd
Prairie du Chien, WI 53821
Phone (608) 326-0581
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1922261015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11091 HICKLIN HOLLOW RD",
"city": "PRAIRIE DU CHIEN",
"state": "WI",
"postal_code": "538219529",
"telephone_number": "608-438-4855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 N MARQUETTE RD",
"city": "PRAIRIE DU CHIEN",
"state": "WI",
"postal_code": "538211512",
"telephone_number": "608-326-0581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEST",
"first_name": "TIERA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-08",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "15198-40",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "23807",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prairie Du Chien, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.