Health Wise Pharmacy LLC

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

HEALTH WISE PHARMACY LLC

Practice address

4639 S Main St
Stafford, TX 77477-4726

Phone

(346) 350-5243

Fax

(346) 520-5420

NPI assigned

May 3, 2023

Organization subpart

No

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

Authorized official

Name

Vernita Davis

Title

Owner

Phone

(346) 350-5243

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Health Wise Pharmacy Doing business as

Tax ID family

Health Wise Pharmacy2 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.

• Health Wise Pharmacy LLC

  • Pharmacy
  • Stafford, TX
  • NPI 1841958048
  NPD tax ID

Locations

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1386333623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4639 S MAIN ST",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774726",
            "telephone_number": "346-350-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4639 S MAIN ST",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774726",
            "telephone_number": "346-350-5243",
            "fax_number": "346-520-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH WISE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "VERNITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-350-5243"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150611",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Wise Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Private Vehicle in Stafford, TX
• Providers in Stafford, TX by specialty
• Private Vehicle in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.