Provider Demographics
NPI:1659465052
Name:WISE BUYS DRUGS
Entity Type:Organization
Organization Name:WISE BUYS DRUGS
Other - Org Name:WISE BUYS DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AND PHARM D
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:661-327-8444
Mailing Address - Street 1:2 H ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93304-2908
Mailing Address - Country:US
Mailing Address - Phone:661-327-8444
Mailing Address - Fax:661-327-3981
Practice Address - Street 1:2 H ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93304-2908
Practice Address - Country:US
Practice Address - Phone:661-327-8444
Practice Address - Fax:661-327-3981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
CAPHY214303336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0526268OtherNCPDP PROVIDER IDENTIFICATION NUMBER
CAPHA214300Medicaid
5722980001Medicare NSC