GREGORY BRENT WILDING PHARMD
NPI 1619254604
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Burley, ID

Active since November 04, 2011
937 E MAIN ST, BURLEY, ID 83318(208) 678-3286(801) 678-1679 Get Directions Write a Review

NPPES record last updated: June 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gregory Brent Wilding Pharmd NPPES

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

GREGORY BRENT WILDING PHARMD (NPI 1619254604) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Burley, Idaho, licensed in Idaho (P9819) and active in the NPI registry since November 2011. He maintains a secondary practice location in Twin Falls.

NPPES Registry Identity

NPI1619254604
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameGREGORY BRENT WILDINGCredential: PHARMD
Location Address937 E MAIN STBurley, ID 83318-2035
Mailing Address937 E Main StBurley, ID 83318-2035 · (208) 678-3286 · Fax (801) 678-1679
Fax(801) 678-1679
Sole ProprietorYes
Enumeration DateNovember 4, 2011
Last NPPES UpdateJune 6, 2026
NPPES CertifiedJune 6, 2026
NPI 1619254604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License Licensed in ID · P9819
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Also ListedPharmacistTaxonomy 183500000X · License P9819 (ID)
937 E MAIN ST, Burley, ID 83318

Secondary Practice Location 1

Location 11913 Addison Ave ETwin Falls, ID 83301-5304 · Phone (208) 734-4581 · Fax (208) 736-7144

Other Providers at the Same Location NPPES 5

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

Pharmacist
937 E MAIN ST
BURLEY, ID 83318
Pharmacist
937 E MAIN ST
BURLEY, ID 83318
Pharmacist
937 E MAIN ST
BURLEY, ID 83318
Pharmacy (Community/Retail Pharmacy)
937 E MAIN ST
BURLEY, ID 83318
Pharmacist
937 E MAIN ST
BURLEY, ID 83318

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 Gregory Wilding's NPI number?

The NPI number for Gregory Wilding is 1619254604. It was assigned to this individual provider in the NPPES registry on November 4, 2011.

Where is Gregory Wilding located?

Gregory Wilding practices at 937 E Main St, Burley, ID 83318. The listed phone number is (208) 678-3286.

What is Gregory Wilding's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Gregory Wilding was last updated on June 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.