NPIMap

Organization Active NPI

Health Wise Pharmacy LLC

  • Pharmacy
  • Stafford, TX
National Provider Identifier
1841958048
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
HEALTH WISE PHARMACY LLC
Doing business as
Health Wise Pharmacy
Practice address
4639 S Main St
Stafford, TX 77477-4726
Phone
(346) 350-5243
Fax
(346) 350-5420
NPI assigned
Dec 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Vernita Davis
Title
Managing Officer
Phone
(346) 350-5243

Specialties & licenses 2

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

Addresses

Primary practice location

4639 S Main St
Stafford, TX 77477-4726

Mailing address

4639 S Main St
Stafford, TX 77477-4726
Phone (346) 350-5243

Other names 1

  • Health Wise Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Health Wise Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1638576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1841958048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4639 S MAIN ST",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774726",
            "telephone_number": "346-350-5243",
            "fax_number": "346-350-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4639 S MAIN ST",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774774726",
            "telephone_number": "346-350-5243",
            "fax_number": "346-350-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH WISE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-04",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "VERNITA",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "346-350-5243"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Wise Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health Wise Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.