Organization Active NPI

Health-Wise Pharmacy, PLLC

Doing business as Health-Wise Pharmacy of Mansfield

  • Community/Retail Pharmacy
  • Mansfield, AR
National Provider Identifier
1538529508
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
AR20831 Issued in AR
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2158400OtherPK

Other names 1

  • Health-Wise Pharmacy of Mansfield Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Health-Wise Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.