NATHAN LYLE WIEDEMANN
NPI 1518485796
Pharmacist in Fort Wayne, IN

Active since September 07, 2017
11932 LIMA RD, FORT WAYNE, IN 46818(260) 637-6667 Get Directions Write a Review

NPPES record last updated: December 16, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nathan Lyle Wiedemann NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN LYLE WIEDEMANN (NPI 1518485796) is an individual pharmacist in Fort Wayne, Indiana, licensed in Indiana (26027384A) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1518485796
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameNATHAN LYLE WIEDEMANN
Location Address11932 LIMA RDFort Wayne, IN 46818-8658
Mailing Address11932 Lima RdFort Wayne, IN 46818-8658 · (260) 637-6667
Sole ProprietorYes
Enumeration DateSeptember 7, 2017
Last NPPES UpdateDecember 16, 2022
NPPES CertifiedDecember 16, 2022
NPI 1518485796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IN · 26027384A
Definition

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.

11932 LIMA RD, Fort Wayne, IN 46818

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
11932 LIMA RD
FORT WAYNE, IN 46818
Pharmacist
11932 LIMA RD
FORT WAYNE, IN 46818
Pharmacy
11932 LIMA RD
FORT WAYNE, IN 46818

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518485796, enumerated as an "individual" on September 07, 2017.

The provider is located at 11932 LIMA RD FORT WAYNE, IN 46818 and the phone number is (260) 637-6667.

Pharmacist with taxonomy code 183500000X.