KIMBERLY WIETER RPH
NPI 1821690728
Pharmacist in Centralia, IL

Active since November 15, 2020
790 W. MCCORD ST., CENTRALIA, IL 62801(618) 532-2200(618) 533-0566 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2023, Nov 15, 2020 (2 updates tracked since 2020).

About Kimberly Wieter Rph NPPES

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

KIMBERLY WIETER RPH (NPI 1821690728) is an individual pharmacist in Centralia, Illinois, licensed in Illinois (051286171) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1821690728
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameKIMBERLY WIETERCredential: RPH
Location Address790 W. MCCORD ST.Centralia, IL 62801
Mailing Address790 W. Mccord St.Centralia, IL 62801 · (618) 532-2200 · Fax (618) 533-0566
Fax(618) 533-0566
Sole ProprietorNo
Enumeration DateNovember 15, 2020
Last NPPES UpdateOctober 24, 20252 updates tracked since enumeration
NPPES CertifiedOctober 24, 2025
NPI 1821690728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IL · 051286171
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.
790 W. MCCORD ST., Centralia, IL 62801

Other Providers at the Same Location NPPES 2

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

Pharmacy (Long Term Care Pharmacy)
790 W. MCCORD ST.
CENTRALIA, IL 62801
Pharmacy (Community/Retail Pharmacy)
790 W. MCCORD ST.
CENTRALIA, IL 62801

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 Kimberly Wieter's NPI number?

The NPI number for Kimberly Wieter is 1821690728. It was assigned to this individual provider in the NPPES registry on November 15, 2020.

Where is Kimberly Wieter located?

Kimberly Wieter practices at 790 W. Mccord St., Centralia, IL 62801. The listed phone number is (618) 532-2200.

What is Kimberly Wieter'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 Kimberly Wieter was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.