OrganizationActive
Wylie Pharmacy LLC
NPI 1225479819 · Community/Retail Pharmacy · Wylie, TX
Provider details
- NPI number
- 1225479819
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Srikrishna Boppana, Pic(972) 429-9594
- License
- 28505 (TX)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
430 S Highway 78 Ste 160
Wylie, TX 75098-3974
Phone: (972) 429-9594
Fax: (972) 429-9482
Street-level locationGet directions
Mailing address
430 S Highway 78
Wylie, TX 75098-3905
Other names (DBA / former)
- Doing business as
- Wylie Pharmacy
Registry dates
- Enumerated
- 2013-07-11
- Last updated
- 2014-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.