Organization Active NPI

Wise Care Pharmacy Inc

  • Community/Retail Pharmacy
  • Buena Park, CA
National Provider Identifier
1508337510
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WISE CARE PHARMACY INC
Practice address
8980 Knott Ave
Buena Park, CA 90620-4137
Phone
(323) 484-2953
NPI assigned
Dec 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Authorized official

Name
Atit Rajesh PatelNPI 1326481946
Title
Owner/Pic
Phone
(714) 461-3099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

8980 Knott Ave
Buena Park, CA 90620-4137

Mailing address

8980 Knott Ave
Buena Park, CA 90620-4137
Phone (714) 461-3099

Other identifiers 1

IdentifierTypeStateIssuer
0048142MedicaidCA

Other names 1

  • WISE CARE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190326000162 CA DME Supplier - Pharmacy 9739429986 Practice locations: Buena Park, CA
O20210215001681 CA Part B Supplier - Mass Immunization (Roster Biller Only) 9739429986 Practice locations: Buena Park, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Wise Care Pharmacy8980 Knott Ave, Buena Park, CA 90620-4137(714) 461-3099 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Mar 26, 2019

National Provider Directory

National Provider Directory

Locations

8980 Knott Ave
Buena Park, CA 90620
Phone (714) 461-3099

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1508337510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8980 KNOTT AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204137",
            "telephone_number": "714-461-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8980 KNOTT AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204137",
            "telephone_number": "323-484-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ATIT",
        "authorized_official_middle_name": "RAJESH",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "714-461-3099"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0048142",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WISE CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WISE CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.