MR. GARY MARK WISE (NPI# 1891990131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891990131 |
| Entity Type | Individual |
| Full Name | MR. GARY MARK WISE |
| Credential | RPH |
| Practice Address |
470 Safford Ave W Thomasville AL 36784-3112 |
| Practice Telephone | 3346369809 |
| Practice Fax Number | 3346369807 |
| Mailing Telephone | 3346369809 |
| Mailing Fax Number | 3346369807 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 9084 | AL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | NABP NUMBER | 0118794 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861825283 | Gary Lee Wise | Licensed Practical Nurse | 276 College St, Wadsworth, OH 44281-1575 | 2013-08-21 |
| Street Address |
470 SAFFORD AVE W |
| City | THOMASVILLE |
| State | AL |
| Zip Code | 36784-3112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093829061 | Family Medicine Pharmacy LLC | Pharmacy | 470 Safford Ave W, Thomasville, AL 36784-3112 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346644341 | Milind Patel | Pharmacist | 33151 U.S. 43, Thomasville, AL 36784 | 2014-10-20 |
| 1518085695 | Clarke County Internal Medicine LLC | Internal Medicine | 411 Wilson Ave, Thomasville, AL 36784 | 2007-03-27 |
| 1316041478 | Family Medical Center-thomasville PC | Family Medicine | 1415 Mosley Drive, Thomasville, AL 36784 | 2006-09-11 |
| 1891841599 | Selma Family Practice Optometry, Inc. | Optometrist | 32510 Highway 43n, Thomasville, AL 36784-1622 | 2007-01-26 |
| 1275533374 | Angela Moore-jones | Pharmacist | 33151 Highway 43, Thomasville, AL 36784-1634 | 2005-07-29 |
| 1477078251 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 33151 Highway 43, Thomasville, AL 36784-1634 | 2017-08-14 |
| 1639462187 | Barbara Ellen Wilson | Pharmacist | 33151 Highway 43, Thomasville, AL 36784-1634 | 2011-05-17 |
| 1982713384 | Harco Inc | Durable Medical Equipment & Medical Supplies | 33151 Highway 43, Thomasville, AL 36784-1634 | 2006-08-30 |
| 1720270994 | Jerry Lee Schreiner | Chiropractor | 32620 Highway 43 Ste B, Thomasville, AL 36784-1655 | 2007-08-13 |
| 1124227061 | Benjamin Michael Stephens | Nurse Anesthetist, Certified Registered | 220 Old Highway 5 N, Thomasville, AL 36784-1812 | 2007-07-11 |
| Find all providers in zip 36784 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245718626 | Caitlin Marie Slaughter | Pharmacist | 13775 Us 19 S, Thomasville, GA 31792-5398 | 2018-07-30 |
| 1346644341 | Milind Patel | Pharmacist | 33151 U.S. 43, Thomasville, AL 36784 | 2014-10-20 |
| 1912301961 | Megan Meeks Mills | Pharmacist | 326 White Oak Trl, Thomasville, GA 31792-6243 | 2014-10-20 |
| 1922346402 | Ronald Reid Satterfield | Pharmacist | 2551 E Pinetree Blvd, Thomasville, GA 31792-4865 | 2013-01-18 |
| 1306113394 | Stephen Michael Cowne | Pharmacist | 1122 Randolph Street, Kmart Pharmacy #3295, Thomasville, NC 27360-5175 | 2011-11-19 |
| 1952609596 | Ernest Roan Mcclelland | Pharmacist | 410 Glenwood Dr, Thomasville, GA 31792-4111 | 2011-03-07 |
| 1043532856 | Krisalyn K Gleaton | Pharmacist | 1122 Randolph St, Thomasville, NC 27360-5175 | 2010-02-20 |
| 1043545460 | Jimmy Holman Andrews | Pharmacist | 327 Cody Dr, Thomasville, NC 27360-9683 | 2009-10-04 |
| 1932330172 | Michael William Koch | Pharmacist | 901 Randolph St, Thomasville, NC 27360-5716 | 2009-08-06 |
| 1346444056 | Almeda Daniels Simpson | Pharmacist | 915 Gordon Avenue, Thomasville, GA 31792-6614 | 2007-06-14 |
| Find all providers in THOMASVILLE | ||||
| City | THOMASVILLE |
| Zip Code | 36784 |
Please comment or provide details below to improve the information on MR. GARY MARK WISE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.