Wildern Durable Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WILDERN DURABLE SUPPLIES LLC

Practice address

201 S Cochran Ave
Charlotte, MI 48813-1550

Phone

(517) 543-0978

Fax

(517) 541-1548

NPI assigned

Dec 2, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joseph Larson Wildern, PHARM D

Title

Owner

Phone

(517) 543-0978

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1386972313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S COCHRAN AVE",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131550",
            "telephone_number": "517-543-0978",
            "fax_number": "517-541-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S COCHRAN AVE",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131550",
            "telephone_number": "517-543-0978",
            "fax_number": "517-541-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDERN DURABLE SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "WILDERN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "LARSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-543-0978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonia Webster, PHD, LPC, FLP
• Michael Weiss
• Stacy Weldon
• Chad Wetzel
• Laura Wieland
• Harper T Wildern, O.D.
• Jeffrey Alan Wildern
• Wilderns Drug Store
• Jessica Marie Wilkinson, RN
• Karri Wills, PT

• Durable Medical Equipment & Medical Supplies in Charlotte, MI
• Providers in Charlotte, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.