Active NPI
Alyssa Renee Wise, PHARMD
- Pharmacist
- Columbiana, OH
National Provider Identifier
1265864219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03232997
- Practice address
- 14973 South Ave
Columbiana, OH 44408-9429 - Phone
- (330) 482-3294
- NPI assigned
- Aug 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03232997 | OH | Primary |
Addresses
Primary practice location
14973 South Ave
Columbiana, OH 44408-9429
Mailing address
423 Terra Verde Ave
Columbiana, OH 44408-1194
Phone (330) 719-4009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH.03232997 | Other | OH | OHIO STATE BOARD OF PHARMACY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03232997 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375315200000",
"number": "1265864219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 TERRA VERDE AVE",
"city": "COLUMBIANA",
"state": "OH",
"postal_code": "444081194",
"telephone_number": "330-719-4009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14973 SOUTH AVE",
"city": "COLUMBIANA",
"state": "OH",
"postal_code": "444089429",
"telephone_number": "330-482-3294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISE",
"first_name": "ALYSSA",
"middle_name": "RENEE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-01",
"last_updated": "2013-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03232997",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO STATE BOARD OF PHARMACY",
"identifier": "RPH.03232997",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbiana, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.