Rebecca Miller Wise, RPH, PHARMD, MED

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP440472 Issued in PA

Practice address

1858 W Grandview Blvd
Bayfront Campus - Lecom MTM Services
Erie, PA 16509-1025

Phone

(814) 868-2584

Fax

(814) 868-2589

NPI assigned

Apr 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education, Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1770606162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1858 W GRANDVIEW BLVD",
            "address_2": "BAYFRONT CAMPUS - LECOM MTM SERVICES",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091025",
            "telephone_number": "814-868-2584",
            "fax_number": "814-868-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1858 W GRANDVIEW BLVD",
            "address_2": "BAYFRONT CAMPUS - LECOM MTM SERVICES",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091025",
            "telephone_number": "814-868-2584",
            "fax_number": "814-868-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "REBECCA",
        "middle_name": "MILLER",
        "name_prefix": "Dr.",
        "credential": "RPH, PHARMD, MED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP440472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LECOM MTM SERVICES NPI",
            "identifier": "1760736870",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wise Counseling Center
• Elizabeth Nash Wise, DO
• Kayla Wise
• Laura Wise, PA-C
• Michelle Marie Wise, LPC
• Jake D Wisener, CRNA
• Diane J Wisinski
• Aaron Wismar, LPC, NCC
• William Henry Wismer, DO
• Amy Witherite, OTR/L

• Pharmacist in Erie, PA
• Providers in Erie, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.