NPI age
12 years
Enumerated 2013-07-11
● Active Type 2 · Organization
Wylie Pharmacy Llc
Wylie Pharmacy Llc is 1 of 5625 pharmacy organizations in Texas.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Boppana
Pic
Last NPPES update
2014-01-14
Source: monthly bulk 2026-05
How this organization compares
Across 5625 active pharmacy providers in Texas.
NPI age
12 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-07Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
430 S Highway 78 Ste 160
Wylie, TX 750983974
Mailing address
430 S Highway 78, Suite 160
Wylie, TX 750983905
Authorized official
Srikrishna Boppana
Pic
📞 9724299594
Specialties
-
Pharmacy PrimaryA pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 2141040 | PK |
| 05 (TX) | 146807 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Wylie Pharmacy
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.