GWIDT PHARMACY INC
NPI 1558092429
Pharmacy - Long Term Care Pharmacy in Wittenberg, WI

Active since June 22, 2022CLIA 52D2182873 · Waiver
203 E WESTGOR AVE, WITTENBERG, WI 54499(715) 253-2164(715) 253-3030 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gwidt Pharmacy Inc NPPES

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

GWIDT PHARMACY INC (NPI 1558092429) is a healthcare organization registered as a long term care pharmacy in Wittenberg, Wisconsin and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through April 26, 2028 and lists Shane Resch, Vice-president, as its authorized official.

NPPES Registry Identity

NPI1558092429
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameGWIDT PHARMACY INC
Location Address203 E WESTGOR AVEWittenberg, WI 54499-9174
Mailing AddressPo Box 253Wittenberg, WI 54499-0253 · (715) 253-2164 · Fax (715) 253-3030
Fax(715) 253-3030
Organization SubpartNo
Authorized OfficialShane ReschVice-president · (715) 253-2164
Enumeration DateJune 22, 2022
NPPES CertifiedJune 13, 2022
✔ NPI 1558092429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
203 E WESTGOR AVE, Wittenberg, WI 54499

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2182873

Gwidt Pharmacy · Wittenberg, WI
Active · expires Apr 26, 2028
CLIA Number52D2182873
Laboratory TypePharmacy
Certificate Effective DateApril 27, 2026
Certificate Expiration DateApril 26, 2028
Laboratory DirectorMr. Shane L. Resch
Laboratory Phone(715) 253-2164
Laboratory LocationGwidt Pharmacy203 E Westgor Ave, Wittenberg, WI 54499
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Pharmacy (Community/Retail Pharmacy)
203 E WESTGOR AVE
WITTENBERG, WI 54499
Pharmacist
203 E WESTGOR AVE
WITTENBERG, WI 54499
Pharmacy (Long Term Care Pharmacy)
203 E WESTGOR AVE, SUITE 1
WITTENBERG, WI 54499

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwidt Pharmacy Inc's NPI number?

The NPI number for Gwidt Pharmacy Inc is 1558092429. It was assigned to this organization in the NPPES registry on June 22, 2022.

Where is Gwidt Pharmacy Inc located?

Gwidt Pharmacy Inc is located at 203 E Westgor Ave, Wittenberg, WI 54499. The listed phone number is (715) 253-2164.

What is Gwidt Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Gwidt Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2182873) is associated with this NPI, valid through April 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gwidt Pharmacy Inc accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross Blue Shield of North Dakota and 17 other insurers list Gwidt Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gwidt Pharmacy Inc was last updated on June 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.