Active NPI
Health-Wise Pharmacy, PLLC
Doing business as Health-Wise Pharmacy of Mansfield
- Community/Retail Pharmacy
- Mansfield, AR
National Provider Identifier
1538529508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- AR20831
- Legal business name
- HEALTH-WISE PHARMACY, PLLC
- Doing business as
- Health-Wise Pharmacy of Mansfield
- Practice address
- 213 E Howard St
Mansfield, AR 72944-3411 - Phone
- (479) 928-4499
- Fax
- (479) 928-0124
- NPI assigned
- Mar 3, 2016
- Last updated
- Mar 3, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Parks
- Title
- President of PLLC
- Phone
- (479) 674-2222
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | AR20831 | AR | Primary |
Addresses
Primary practice location
213 E Howard St
Mansfield, AR 72944-3411
Mailing address
PO Box 347
Mansfield, AR 72944-0347
Phone (479) 928-4499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2158400 | Other | PK |
Other names 1
- Health-Wise Pharmacy of Mansfield
National Provider Directory
National Provider Directory- Tax ID family
- Health-Wise Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Greenwood, AR
- NPI 1407356678
-
dba Health-Wise Pharmacy
- Community/Retail Pharmacy
- Waldron, AR
- NPI 1952814857
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Mansfield, AR
- NPI 1124228978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456963200000",
"number": "1538529508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 347",
"city": "MANSFIELD",
"state": "AR",
"postal_code": "729440347",
"telephone_number": "479-928-4499",
"fax_number": "479-928-0124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 E HOWARD ST",
"city": "MANSFIELD",
"state": "AR",
"postal_code": "729443411",
"telephone_number": "479-928-4499",
"fax_number": "479-928-0124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH-WISE PHARMACY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-03",
"last_updated": "2016-03-03",
"status": "A",
"authorized_official_last_name": "PARKS",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "PRESIDENT OF PLLC",
"authorized_official_telephone_number": "479-674-2222"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AR",
"license": "AR20831",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2158400",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Health-Wise Pharmacy of Mansfield",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mansfield, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.