Individual provider Active NPI

Charlotte Wilson, PHARMD

  • Ambulatory Care Pharmacist
  • Mitchell, IN
National Provider Identifier
1780218693
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
26026520A Issued in IN
Practice address
1494 W Main St
Mitchell, IN 47446-9493
Phone
(812) 865-3266
Fax
(812) 849-2832
NPI assigned
Feb 29, 2020
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 26026520A IN Primary

Addresses

Primary practice location

1494 W Main St
Mitchell, IN 47446-9493

Mailing address

2950 S Hickory Rd
Bloomfield, IN 47424-5583
Phone (540) 623-5151

Other practice location 1

619 Lincoln Ave
Bedford, IN 47421-2113
Phone (812) 277-1702

Other practice location 2

125 W Old Short St
Marengo, IN 47140-3225
Phone (812) 365-0001

Other names 1

  • Charlotte Taft Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
26026520AINMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Engleking RX Marengo LLC PastSince Jun 1, 2020 Accepting new patients
Engleking RX Lincoln Plaza LLC PastSince Apr 6, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1582934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1780218693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 S HICKORY RD",
            "city": "BLOOMFIELD",
            "state": "IN",
            "postal_code": "474245583",
            "telephone_number": "540-623-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1494 W MAIN ST",
            "city": "MITCHELL",
            "state": "IN",
            "postal_code": "474469493",
            "telephone_number": "812-865-3266",
            "fax_number": "812-849-2832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "IN",
            "postal_code": "474212113",
            "country_code": "US",
            "telephone_number": "812-277-1702",
            "fax_number": "812-277-1697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 W Old Short St",
            "address_purpose": "LOCATION",
            "city": "Marengo",
            "state": "IN",
            "postal_code": "471403225",
            "country_code": "US",
            "telephone_number": "812-365-0001",
            "fax_number": "812-365-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CHARLOTTE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-29",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "IN",
            "license": "26026520A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLOTTE",
            "last_name": "TAFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mitchell, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.