Organization Active NPI

Wise Pharmacy

  • Pharmacist
  • Littleton, CO
National Provider Identifier
1558588236
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
79-31 Issued in CO
Legal business name
WISE PHARMACY
Practice address
6179 S Balsam Way
Suite 150
Littleton, CO 80123-3091
Phone
(303) 933-8181
Fax
(303) 979-7915
NPI assigned
Apr 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joe D Wise II
Title
President
Phone
(303) 933-8181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 79-31 CO Primary

Addresses

Primary practice location

6179 S Balsam Way
Suite 150
Littleton, CO 80123-3091

Mailing address

6179 S Balsam Way
Suite 150
Littleton, CO 80123-3091
Phone (303) 933-8181

Other identifiers 2

IdentifierTypeStateIssuer
06-11942OtherCONABP#
03079316MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558588236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6179 S BALSAM WAY",
            "address_2": "SUITE 150",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801233091",
            "telephone_number": "303-933-8181",
            "fax_number": "303-979-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6179 S BALSAM WAY",
            "address_2": "SUITE 150",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801233091",
            "telephone_number": "303-933-8181",
            "fax_number": "303-979-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-933-8181",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "79-31",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP#",
            "identifier": "06-11942",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03079316",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.