Active NPI
Joshua Edwin Wiser, PHARMD, BCPS
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Goodfellow Afb, TX
National Provider Identifier
1508211491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 1-16654
- Practice address
- 271 Fort Richardson Ave
Goodfellow Afb, TX 76908 - Phone
- (325) 654-5758
- NPI assigned
- Apr 28, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 56478 | TX | |
| Pharmacotherapy Pharmacist | 1835P1200X | 1-16654 | KS | |
| Pharmacotherapy Pharmacist | 1835P1200X | 56478 | TX | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 1-16654 | KS | Primary |
Addresses
Primary practice location
271 Fort Richardson Ave
Goodfellow Afb, TX 76908
Mailing address
271 Ft Richardson Ave
Goodfellow Afb, TX 76908
Phone (325) 654-5758
Other practice location 1
7050 Air Depot Blvd Bldg 1094
Tinker AFB, OK 73145-8716
Phone (405) 582-6315
Other practice location 2
1600 11th St
Pharmacy Department
Wichita Falls, TX 76301-4300
Phone (940) 764-3373
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 |
|---|---|---|---|
| 56478 | TX | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 1-16654 | KS | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1508211491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 FT RICHARDSON AVE",
"city": "GOODFELLOW AFB",
"state": "TX",
"postal_code": "76908",
"telephone_number": "325-654-5758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 FORT RICHARDSON AVE",
"city": "GOODFELLOW AFB",
"state": "TX",
"postal_code": "76908",
"telephone_number": "325-654-5758"
}
],
"practiceLocations": [
{
"address_1": "7050 Air Depot Blvd Bldg 1094",
"address_purpose": "LOCATION",
"city": "Tinker AFB",
"state": "OK",
"postal_code": "731458716",
"country_code": "US",
"telephone_number": "405-582-6315",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 11th St",
"address_2": "Pharmacy Department",
"address_purpose": "LOCATION",
"city": "Wichita Falls",
"state": "TX",
"postal_code": "763014300",
"country_code": "US",
"telephone_number": "940-764-3373",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WISER",
"first_name": "JOSHUA",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "PHARMD, BCPS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-28",
"last_updated": "2022-10-19",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "TX",
"license": "56478",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "KS",
"license": "1-16654",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "TX",
"license": "56478",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "KS",
"license": "1-16654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodfellow Afb, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.