Individual provider Active NPI

Joshua Edwin Wiser, PHARMD, BCPS

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Goodfellow Afb, TX
National Provider Identifier
1508211491
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
1-16654 Issued in KS
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

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
56478TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
1-16654KSMDPharmacotherapy 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.

Verify at the official NPI Registry.