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MRS. MARY JO WITHERED REGISTERED PHARMACIS
NPI 1679868285
Pharmacist in Lafayette, IN

Active since June 10, 2011
3630 STATE ROAD 26 E, T-1762, LAFAYETTE, IN 47905(765) 447-4411 Get Directions Write a Review

NPPES record last updated: June 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Mary Jo Withered Registered Pharmacis NPPES

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

MRS. MARY JO WITHERED REGISTERED PHARMACIS (NPI 1679868285) is an individual pharmacist in Lafayette, Indiana, licensed in Indiana (IN26013681A) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1679868285
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMRS. MARY JO WITHEREDCredential: REGISTERED PHARMACIS
Location Address3630 STATE ROAD 26 E, T-1762Lafayette, IN 47905-4807
Mailing Address3630 State Road 26 E, T-1762Lafayette, IN 47905-4807 · (765) 447-4411
Phone(765) 447-4411
Sole ProprietorYes
Enumeration DateJune 10, 2011
✔ NPI 1679868285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in IN · IN26013681A
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.
3630 STATE ROAD 26 E, Lafayette, IN 47905
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Other Providers at the Same Location NPPES 2

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

DR. KARY G MCKINLEY PHARMD
Pharmacist
3630 STATE ROAD 26 E
LAFAYETTE, IN 47905
Tippecanoe County (765) 447-4411
COLE VISION CORPORATION
Eyewear Supplier
3630 STATE ROAD 26 E
LAFAYETTE, IN 47905
Tippecanoe County (765) 447-5943

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 Mary Jo Withered's NPI number?

The NPI number for Mary Jo Withered is 1679868285. It was assigned to this individual provider in the NPPES registry on June 10, 2011.

Where is Mary Jo Withered located?

Mary Jo Withered practices at 3630 State Road 26 E T-1762, Lafayette, IN 47905. The listed phone number is (765) 447-4411.

What is Mary Jo Withered's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Mary Jo Withered was last updated on June 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.