Anthony M Wiseman, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

S015592 Issued in AZ

Practice address

4121 E Cotton Center Blvd
Phoenix, AZ 85040-8849

Phone

(602) 431-5149

NPI assigned

Aug 13, 2010

Last updated

Jun 14, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1649585795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 E COTTON CENTER BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850408849",
            "telephone_number": "602-431-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 E COTTON CENTER BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850408849",
            "telephone_number": "602-431-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "ANTHONY",
        "middle_name": "M",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-13",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S015592",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP441048",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camela Wirick, PHARMD
• Cassandra Dae Wisdom
• Karen Wise, RN
• Kelly Wise
• Tamara Noel Wisely, WHNP
• Jason T. Wiseman, MD, MSPH
• Wisemind Wellness, LLC
• Amber Wiser, PT, ATC
• Fidaa J M Wishah, M.D
• David Wisinger, MD

• Pharmacist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.