Edgar H. Wise III, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS 12201 Issued in FL

Practice address

239 W University Ave
Gainesville, FL 32601-5211

Phone

(352) 372-4371

Fax

(352) 375-8686

NPI assigned

Apr 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wise's Drugstore

  • Durable Medical Equipment & Medical Supplies
  • Gainesville, FL
  • NPI 1184719361
  NPD (past) Authorized official

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336262922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 NW 22ND TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326052968",
            "telephone_number": "352-378-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 W UNIVERSITY AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326015211",
            "telephone_number": "352-372-4371",
            "fax_number": "352-375-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "EDGAR",
        "middle_name": "H.",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS 12201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBER",
            "identifier": "PS 12201",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaci Louise Wirthwein, MD
• Taylor Wisdom, PHARMD
• Alea Wise
• Andrea Wise
• Corinna Wise
• Elizabeth A Wise, DC
• Kahtleen Beth Wise, MSW
• Kenneth Edgar Wise, PHARM. D
• Wise's Drugstore
• Wise's Parkwood

• Pharmacist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.