WILDERNS DRUG STORE
NPI 1881669745
Pharmacy in Potterville, MI

Q: What is Wilderns Drug Store's NPI number?

The NPI number for Wilderns Drug Store is 1881669745. It was assigned to this organization in the NPPES registry on February 22, 2006.

Q: What is Wilderns Drug Store's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since February 22, 2006

123 LANSING ROAD, POTTERVILLE, MI 48876(517) 645-7680(517) 645-7698 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wilderns Drug Store NPPES

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

WILDERNS DRUG STORE (NPI 1881669745) is a healthcare organization registered as a pharmacy in Potterville, Michigan and active in the NPI registry since February 2006. The organization lists Jeffrey Alan Wildern, President, as its authorized official.

NPPES Registry Identity

NPI1881669745

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWILDERNS DRUG STORE

Location Address123 LANSING ROADPotterville, MI 48876

Mailing Address123 Lansing Road, Wilderns Drug Store #2Potterville, MI 48876 · (517) 645-7680 · Fax (517) 645-7698

Phone(517) 645-7680

Fax(517) 645-7698

Organization SubpartNo

Authorized OfficialJeffrey Alan WildernPresident · (517) 645-7680

Enumeration DateFebruary 22, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1881669745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in MI · 5301004387

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

123 LANSING ROAD, Potterville, MI 48876

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Other Identifiers 2

Medicaid2340444MI

Other2340444MI · Bcbsm

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 Wilderns Drug Store's NPI number?

The NPI number for Wilderns Drug Store is 1881669745. It was assigned to this organization in the NPPES registry on February 22, 2006.

Where is Wilderns Drug Store located?

Wilderns Drug Store is located at 123 Lansing Road, Potterville, MI 48876. The listed phone number is (517) 645-7680.

What is Wilderns Drug Store's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Wilderns Drug Store was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.