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DR. KYLE GLENN WIEGEL PHARMD, MBA
NPI 1205461399
Pharmacist in Green Bay, WI

Active since March 09, 2020
1979 LIME KILN RD, GREEN BAY, WI 54311(920) 288-0638 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kyle Glenn Wiegel Pharmd, Mba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KYLE GLENN WIEGEL PHARMD, MBA (NPI 1205461399) is an individual pharmacist in Green Bay, Wisconsin, licensed in Wisconsin (19615-40) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1205461399
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. KYLE GLENN WIEGELCredential: PHARMD, MBA
Location Address1979 LIME KILN RDGreen Bay, WI 54311-6219
Mailing Address803 Fredrick Ct Apt 3Green Bay, WI 54313-7994 · (304) 893-8239
Phone(920) 288-0638
Sole ProprietorYes
Enumeration DateMarch 9, 2020
NPPES CertifiedMarch 9, 2020
✔ NPI 1205461399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in WI · 19615-40
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
1979 LIME KILN RD, Green Bay, WI 54311
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WALGREEN CO
Pharmacy
1979 LIME KILN RD
BELLEVUE, WI 54311
Brown County (920) 288-0638
TYLER SETH JONES PHARMD
Pharmacist
1979 LIME KILN RD
GREEN BAY, WI 54311
Brown County (920) 288-0638
JOHN JOSEPH WOLFF
Pharmacist
1979 LIME KILN RD
GREEN BAY, WI 54311
Brown County (920) 288-0638

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Wiegel's NPI number?

The NPI number for Kyle Wiegel is 1205461399. It was assigned to this individual provider in the NPPES registry on March 9, 2020.

Where is Kyle Wiegel located?

Kyle Wiegel practices at 1979 Lime Kiln Rd, Green Bay, WI 54311. The listed phone number is (920) 288-0638.

What is Kyle Wiegel's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Kyle Wiegel was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.