Health Wise Affordable Pharmacy
Organization Active NPI Community/Retail Pharmacy · Wharton, TX
NPI 1124603451 · NPPES record last updated Oct 17, 2023
Key facts
- NPI
- 1124603451
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- HEALTH WISE AFFORDABLE PHARMACY
- Practice address
- 214 W Ahldag St
Wharton, TX 77488-2410 - Phone
- (978) 282-9473
- NPI assigned
- Mar 17, 2021
- Organization subpart
- No
Authorized official
- Name
- Sharda Ware
- Title
- Officer
- Phone
- (979) 282-9473
Practitioners 2
-
Anita Lynn Manson, RPH.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210525003368 | TX | Part B Supplier - Pharmacy | 7618376583 | Practice locations: Wharton, TX |
National Provider Directory
Locations
214 W Ahldag St
Wharton, TX 77488
Phone (979) 282-2201
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
214 W Ahldag St
Wharton, TX 77488-2410
Mailing address
214 W Ahldag St
Wharton, TX 77488-2410
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33691 | Other | TX | PHARMACY LICENSE NUMBER |
Other providers in Wharton, TX
- H-E-B, LP
- Fadi Philip Haikal
- Lauren Harrison
- Anthony Dewayne Ford Hayes
- Health Focus Group Inc.
- Alice Marie Heard
- Heartway III Corporation
- Sandra V Hochman
- Sandra Laverne Holmes
- Hughes Professional Inc.
All providers in Wharton, TX · Community/Retail Pharmacy in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.