Wisegroup LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WISEGROUP LLC

Practice address

289 Main St
Cadiz, KY 42211-9151

Phone

(270) 882-2222

NPI assigned

Nov 1, 2018

Organization subpart

No

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

Authorized official

Name

Mr. James B Wiseman, PHAMD.

Title

Pharmacist

Phone

(270) 882-2222

Specialties & licenses 1

Addresses

Other names 1

• Main Street Pharmacy of Cadiz Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Main Street Pharmacy of Cadiz2 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.

• Wisegroup LLC

  • Community/Retail Pharmacy
  • Hopkinsville, KY
  • NPI 1093476392
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erin McCraw

  • Pharmacist
  • Cadiz, KY
  • NPI 1750984258
  NPD
• Jennifer Rhea Shown, PHARMD

  • Pharmacist
  • Cadiz, KY
  • NPI 1740883347
  NPD

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1174090799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 MAIN ST",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "422119151",
            "telephone_number": "270-882-2222",
            "fax_number": "270-882-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 MAIN ST",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "422119151",
            "telephone_number": "270-882-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISEGROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "WISEMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "270-882-2222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHAMD."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Pharmacy of Cadiz",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Main Street Pharmacy of Cadiz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heat Her Ford Vinson, CCC-SLP
• Anthony Thomas Vitale, D.C.
• Barry Walker, PTA
• Callie M Wells, APRN
• Lyndsey West, FNP-BC
• Kimberly A Wright, MS CCC-SLP

• Community/Retail Pharmacy in Cadiz, KY
• Providers in Cadiz, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.