NPIMap

Organization Active NPI

Gwidt Pharmacy Inc

  • Long Term Care Pharmacy
  • Wittenberg, WI
National Provider Identifier
1558092429
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
GWIDT PHARMACY INC
Practice address
203 E Westgor Ave
Wittenberg, WI 54499-9174
Phone
(715) 253-2164
Fax
(715) 253-3030
NPI assigned
Jun 22, 2022
Last updated
Jun 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Authorized official

Name
Dr. Shane Resch, PHARM D, RPHNPI 1578966933
Title
Vice-President
Phone
(715) 253-2164

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

203 E Westgor Ave
Wittenberg, WI 54499-9174

Mailing address

PO Box 253
Wittenberg, WI 54499-0253
Phone (715) 253-2164

National Provider Directory

National Provider Directory
Tax ID family
Gwidt Pharmacy Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1558092429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 253",
            "city": "WITTENBERG",
            "state": "WI",
            "postal_code": "544990253",
            "telephone_number": "715-253-2164",
            "fax_number": "715-253-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E WESTGOR AVE",
            "city": "WITTENBERG",
            "state": "WI",
            "postal_code": "544999174",
            "telephone_number": "715-253-2164",
            "fax_number": "715-253-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWIDT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "RESCH",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "715-253-2164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D, RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wittenberg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.