Active NPI
Charlotte Wilson, PHARMD
- Ambulatory Care Pharmacist
- Mitchell, IN
National Provider Identifier
1780218693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 26026520A
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26026520A | IN | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Engleking RX Marengo LLC | Past | Accepting new patients | |
| Engleking RX Lincoln Plaza LLC | Past | 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.
-
dba Engleking Rx
- Community/Retail Pharmacy
- Bedford, IN
- NPI 1457442626
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.