MR. CLARK WIDMOYER
NPI 1811279862
Pharmacist in Elkhart, IN

Active since September 15, 2011
102 E HIVELY AVE, ELKHART, IN 46517(574) 522-2197(574) 522-9352 Get Directions Write a Review

NPPES record last updated: September 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Clark Widmoyer NPPES

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

MR. CLARK WIDMOYER (NPI 1811279862) is an individual pharmacist in Elkhart, Indiana, licensed in Indiana (26015425A) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1811279862
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. CLARK WIDMOYER
Location Address102 E HIVELY AVEElkhart, IN 46517-2194
Mailing Address102 E Hively AveElkhart, IN 46517-2194 · (574) 522-2197 · Fax (574) 522-9352
Fax(574) 522-9352
Sole ProprietorYes
Enumeration DateSeptember 15, 2011
NPI 1811279862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IN · 26015425A
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.
102 E HIVELY AVE, Elkhart, IN 46517

Other Providers at the Same Location NPPES 4

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

Pharmacist
102 E HIVELY AVE
ELKHART, IN 46517
Pharmacist
102 E HIVELY AVE
ELKHART, IN 46517
Pharmacist
102 E HIVELY AVE
ELKHART, IN 46517
Pharmacy
102 E HIVELY AVE
ELKHART, IN 46517

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 Clark Widmoyer's NPI number?

The NPI number for Clark Widmoyer is 1811279862. It was assigned to this individual provider in the NPPES registry on September 15, 2011.

Where is Clark Widmoyer located?

Clark Widmoyer practices at 102 E Hively Ave, Elkhart, IN 46517. The listed phone number is (574) 522-2197.

What is Clark Widmoyer'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 Clark Widmoyer was last updated on September 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.