MARY WISE (NPI# 1861009227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861009227 |
| Entity Type | Individual |
| Full Name | MARY WISE |
| Practice Address |
2057 Charlie Hall Blvd Ste C Charleston SC 29414-6164 |
| Practice Telephone | 8436373037 |
| Practice Fax Number | 8432030883 |
| Mailing Telephone | 8436373037 |
| Mailing Fax Number | 8432030883 |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 12197 | SC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225419229 | Mary Wise | Speech-Language Pathologist | 1518 Sunnyview Oval, Keasbey, NJ 08832-1050 | 2015-06-15 |
| 1184047565 | Mary Beatty Wise | Nurse Practitioner | 496 Fairfield Ct, Evans, GA 30809-3641 | 2014-01-21 |
| 1487886800 | Mary Anne Wise | Massage Therapist | 3187 Rt 28, Shokan, NY 12481-0052 | 2009-08-18 |
| 1558379495 | Mary Bernadette Wise | General Practice | 7929 Ogden Ave, Lyons, IL 60534 | 2006-08-04 |
| 1649248550 | Mary Louise Wise | Psychologist | 2 E. Franklin Ave., #6, Mpls, MN 55403 | 2006-03-08 |
| 1831545086 | Mary Fowler Wise | Family Medicine | 1300 Old Weisgarber Rd, Knoxville, TN 37909-1291 | 2016-05-06 |
| 1881966794 | Mary Helen Wise | Social Worker | 411 W Chapel Hill St, Suite 908, Durham, NC 27701-3616 | 2012-02-08 |
| 1740516913 | Mary C Wise | Occupational Therapist | 1335 Nw Broad St, Murfreesboro, TN 37129-4428 | 2009-10-23 |
| 1558502153 | Mary Felicia Wise | Registered Nurse | 8200 W Silver Spring Dr, Milwaukee, WI 53218-2552 | 2009-03-12 |
| 1720111768 | Mary Moore Wise | Registered Nurse | 1540 Spring Valley Dr, Huntington, WV 25704-9300 | 2007-03-13 |
| Street Address |
2057 CHARLIE HALL BLVD STE C |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-6164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366774408 | Herolds Pharmacy LLC | Pharmacy | 2057 Charlie Hall Blvd Ste C, Charleston, SC 29414-6164 | 2010-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| 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 |
|---|---|---|---|---|
| 1033724687 | Joseph Cerenzia | Pharmacist | 50 Colleton Dr, Charleston, SC 29407-7301 | 2020-09-10 |
| 1720696354 | Carol Brown | Pharmacist | 169 Ashley Ave # Uh161, Charleston, SC 29425-8905 | 2020-07-20 |
| 1184258600 | Patrick Joesph Good | Pharmacist | 3212 Pennsylvania Ave # 8, Charleston, WV 25302-4537 | 2020-02-24 |
| 1679103105 | John Ryan Hinton | Pharmacist | 601 Meeting St Apt 6075, Charleston, SC 29403-6886 | 2020-01-23 |
| 1548802911 | Puja Weatherford | Pharmacist | 730 Hopewell Dr, Charleston, SC 29492-7103 | 2019-10-17 |
| 1518519172 | Kelsie Harris | Pharmacist | 1015 King St Ste B, Charleston, SC 29403-3701 | 2019-07-14 |
| 1285286153 | Chad Lee | Pharmacist | 44 Folly Road Blvd Ste A, Charleston, SC 29407-7559 | 2019-07-11 |
| 1376104497 | Sahand Askarian | Pharmacist | 135 Rutledge Ave Fl 1, Charleston, SC 29425-8903 | 2019-06-28 |
| 1902374788 | Jennifer Singian | Pharmacist | 169 Ashley Ave Rm 149, Charleston, SC 29425-8905 | 2018-11-09 |
| 1629543541 | Zachary William Mullin | Pharmacist | 776 Daniel Ellis Dr Ste 2c, Charleston, SC 29412-3096 | 2018-10-07 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
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| 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.