Steven Mark Wieder

Primary specialty

PharmacistTaxonomy code 183500000X

License

11118 Issued in NC

Practice address

3040 Evans St Ste 128
Greenville, NC 27834-3195

Phone

(252) 695-6253

Fax

(252) 756-7393

NPI assigned

Dec 15, 2009

Last updated

Feb 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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.

• Walgreens Pharmacy

  • Pharmacist
  • Greenville, NC
  • NPI 1215264445
  Authorized official Same address or phone

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1932438397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 DAVENPORT PL",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285908550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 EVANS ST STE 128",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343195",
            "telephone_number": "252-695-6253",
            "fax_number": "252-756-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDER",
        "first_name": "STEVEN",
        "middle_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-15",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "11118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Anthony Wicher, RPH
• Vandala Wicker, COTA/L
• Holly Wickizer, BCBA
• Bret Wickstrom
• Emily Louise Widrick
• Brian William Wiese, MS, ATC, LAT
• Jenny M. Wiggins, MSN, APRN, FNP-BC
• Gerald Braden Wiggs, MSN, FNP-C
• Sarra Wildermuth, MSN, RN, ACCNS-AG
• Albert L Wiley Jr., MD, PHD

• Pharmacist in Greenville, NC
• Providers in Greenville, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.