Mary Wise

Primary specialty

PharmacistTaxonomy code 183500000X

License

12197 Issued in SC

Practice address

2057 Charlie Hall Blvd Ste C
Charleston, SC 29414-6164

Phone

(843) 637-3037

Fax

(843) 203-0883

NPI assigned

Sep 29, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Herolds Pharmacy LLC

  • Community/Retail Pharmacy
  • Charleston, SC
  • NPI 1366774408
  NPD Authorized official

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1861009227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2057 CHARLIE HALL BLVD STE C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146164",
            "telephone_number": "843-637-3037",
            "fax_number": "843-203-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2057 CHARLIE HALL BLVD STE C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146164",
            "telephone_number": "843-637-3037",
            "fax_number": "843-203-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "12197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Stobie Winterfield, MD
• Elizabeth Barton Winton, MD
• Holly H Wise, PT
• Kate Hansson Wise, DNP, FNP
• Kristin R Wise, M.D.
• Rachel Louise Wise
• Sarah Jean Wise, LISW-CP
• Dean Joseph Wiseman, MD
• James Bradley Wisner, D.M.D.
• Jennifer N Wisniewski, PHARMD, BCPA

• Pharmacist in Charleston, SC
• Providers in Charleston, SC by specialty
• Pharmacist in South Carolina

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