Wise's Parkwood

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WISE'S PARKWOOD

Practice address

3842 Newberry Rd Ste 1G
Gainesville, FL 32607-4833

Phone

(352) 373-3547

Fax

(352) 373-1532

NPI assigned

Feb 9, 2007

Last updated

Nov 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Phil Gage, RPHNPI 1174927966

Title

Presidentpharmacist

Phone

(352) 373-3547

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phil Gage, BS

  • Community/Retail Pharmacy
  • Gainesville, FL
  • NPI 1174927966
  NPD Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1366583817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3842 NEWBERRY RD STE 1G",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326074833",
            "telephone_number": "352-373-3547",
            "fax_number": "352-373-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3842 NEWBERRY RD STE 1G",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326074833",
            "telephone_number": "352-373-3547",
            "fax_number": "352-373-1532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 SW 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326072803",
            "country_code": "US",
            "telephone_number": "352-373-3547",
            "fax_number": "352-373-1532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WISE'S PARKWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "GAGE",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "PRESIDENTPHARMACIST",
        "authorized_official_telephone_number": "352-373-3547",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102198200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102198201",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edgar H. Wise III, RPH
• Elizabeth A Wise, DC
• Kahtleen Beth Wise, MSW
• Kenneth Edgar Wise, PHARM. D
• Wise's Drugstore
• Wisebuddha Enterprises (Shah Medical Clinic)
• John Gilbert Wiseheart, AU.D.
• Rebecca Maulden Wiseheart, M.A.
• Wises Drug Store Inc (Wise's Pharmacy)
• John Edwin Witcher, DMD, MS

• Community/Retail Pharmacy in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.