Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669098117 Individual Practitioner Male Practitioner

Dr. Cody Douglas Wise , PharmD

Pharmacist • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Dr. Cody Wise, PharmD is a registered healthcare professional specializing in Pharmacist in Fargo, ND. Practice services are available at 5225 23RD AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5225 23rd Ave S

Fargo, ND 581047927

Telephone 7014172000
Associated Practice Facility / Clinic
🏢 Sanford Medical Center Fargo Facility NPI 1861927709

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
250 Specialists

Practicing in Fargo, ND (884 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-21
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License ND RPH6211

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jacob Kroke , RN

Registered Nurse - Emergency

NPI 1033062831

Registered Nurse

Joshua Maliske , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033706882

Certified Registered Nurse Anesthetist

NPI 1053937888

Doctor of Medicine (M.D.)

Alexander Olson , APRN, CRNA

Nurse Anesthetist, Certified Registered

NPI 1063052504

Advanced Practice Registered Nurse, Certified Registered Nurse Anesthetist

NPI 1063145381

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Ashley Soholt

Occupational Therapist

NPI 1073150520

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 21, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 21, 2020

Registered at 5225 23RD AVE S, FARGO, ND 581047927 (Tel: 7014172000)

📍
Updated Business Mailing Address June 21, 2020

Registered at 5360 28TH AVE S APT 206, FARGO, ND 581045935 (Tel: 2692403162)

👤
Provider Name / Credentials Updated June 21, 2020

Recorded as CODY WISE, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2020

Pharmacist (License #RPH6211 in ND)

🟢
Initial NPI Registration & Enumeration June 21, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669098117
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2020
Last Update: June 21, 2020
Sole Proprietor: No

Mailing Address

5360 28th Ave S Apt 206

Fargo, ND 581045935

Phone: 2692403162

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.