Wisdom Pharmacy,LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

WISDOM PHARMACY,LLC

Practice address

4123 W Hillsborough Ave Ste C
Tampa, FL 33614-5609

Phone

(812) 443-6980

NPI assigned

Feb 16, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Shaker

Title

Pharmacy Owner

Phone

(727) 781-7400

Specialties & licenses 1

Addresses

Other names 1

• TRUST PHARMACY Doing business as

Tax ID family

Trust Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wisdom Pharmacy,LLC

  • Community/Retail Pharmacy
  • Tampa, FL
  • NPI 1407397524
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1013772193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 W HILLSBOROUGH AVE STE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336145609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 W HILLSBOROUGH AVE STE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336145609",
            "telephone_number": "812-443-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM PHARMACY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "SHAKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACY OWNER",
        "authorized_official_telephone_number": "727-781-7400"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRUST PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Balee Madison Winters, CRNA
• Danielle Wirbickas, PA-C
• Wiregrass Ranch ASC Holdings LLC
• James Wirth, PA-C
• Jenna Marie Wischmeyer, CRNA
• Wisdom Pharmacy,LLC
• Emma Wisdom
• James Hunter Wise, RPH
• Kimberly Wise, CRNFA
• Passion Wise

• Long Term Care Pharmacy in Tampa, FL
• Providers in Tampa, FL by specialty
• Long Term Care Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.