Gary Mark Wise, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

9084 Issued in AL

Practice address

470 Safford Ave W
Thomasville, AL 36784-3112

Phone

(334) 636-9809

Fax

(334) 636-9807

NPI assigned

Jun 18, 2007

Last updated

Jul 8, 2007By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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

• Whitaker Drugs Thomasville LLC

  dba Family Medicine Pharmacy

  • Community/Retail Pharmacy
  • Thomasville, AL
  • NPI 1093829061
  NPD (past)

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891990131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 SAFFORD AVE W",
            "city": "THOMASVILLE",
            "state": "AL",
            "postal_code": "367843112",
            "telephone_number": "334-636-9809",
            "fax_number": "334-636-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 SAFFORD AVE W",
            "city": "THOMASVILLE",
            "state": "AL",
            "postal_code": "367843112",
            "telephone_number": "334-636-9809",
            "fax_number": "334-636-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "GARY",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "9084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "0118794",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Rite Aid)
• Walgreen Co (Walgreens #11115)
• Randy P Walters, D.M.D.
• Whitaker Drugs Thomasville LLC (Family Medicine Pharmacy)
• Barbara Ellen Wilson, RPH,MBA

• Pharmacist in Thomasville, AL
• Providers in Thomasville, AL by specialty
• Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.