Active NPI
Austin Wise, PHARMD
- Pharmacist
- Matthews, NC
National Provider Identifier
1508336207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26904
- Practice address
- 2925 Senna Dr Ste 100
Matthews, NC 28105-0512 - Phone
- (704) 814-0154
- Fax
- (704) 814-0520
- NPI assigned
- Nov 26, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26904 | NC | Primary |
Addresses
Primary practice location
2925 Senna Dr Ste 100
Matthews, NC 28105-0512
Mailing address
2925 Senna Dr Ste 100
Matthews, NC 28105-0512
Phone (704) 814-0154
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 |
|---|---|---|---|
| 26904 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthwise Pharmacy LLC | Current | Accepting new patients |
Locations
2925 Senna Dr
Ste 100
Matthews, NC 28105
Phone (704) 814-0154
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Matthews, NC
- NPI 1326503533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543190400000",
"number": "1508336207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 SENNA DR STE 100",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281050512",
"telephone_number": "704-814-0154",
"fax_number": "704-814-0520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2925 SENNA DR STE 100",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281050512",
"telephone_number": "704-814-0154",
"fax_number": "704-814-0520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISE",
"first_name": "AUSTIN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-26",
"last_updated": "2018-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "26904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.