Organization Active NPI

Brent Marti

Doing business as Health Wise Pharmacy

  • Community/Retail Pharmacy
  • Westlake, LA
National Provider Identifier
1578628905
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
3495 Issued in LA
Legal business name
BRENT MARTI
Doing business as
Health Wise Pharmacy
Practice address
916 Sampson St Ste a
Westlake, LA 70669-5347
Phone
(337) 439-7067
Fax
(337) 436-6427
NPI assigned
Dec 26, 2006
Last updated
Dec 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Authorized official

Name
Brent Marti
Title
Owner
Phone
(337) 439-7067

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 3495 LA Primary

Addresses

Primary practice location

916 Sampson St Ste a
Westlake, LA 70669-5347

Mailing address

916 Sampson St Ste a
Westlake, LA 70669-5347
Phone (337) 439-7067

Other identifiers 2

IdentifierTypeStateIssuer
2033627OtherPK
1263958MedicaidLA

Other names 1

  • HEALTH WISE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

916 Sampson St
Ste A
Westlake, LA 70669
Phone (337) 439-7067

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1578628905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 SAMPSON ST STE A",
            "city": "WESTLAKE",
            "state": "LA",
            "postal_code": "706695347",
            "telephone_number": "337-439-7067",
            "fax_number": "337-436-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 SAMPSON ST STE A",
            "city": "WESTLAKE",
            "state": "LA",
            "postal_code": "706695347",
            "telephone_number": "337-439-7067",
            "fax_number": "337-436-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT MARTI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "MARTI",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-439-7067"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "3495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2033627",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1263958",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTH WISE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westlake, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.