WILDERN DURABLE SUPPLIES LLC (NPI# 1386972313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386972313 |
| Entity Type | Organization |
| Organization Name | WILDERN DURABLE SUPPLIES LLC |
| Practice Address |
201 S Cochran Ave Charlotte MI 48813-1550 |
| Practice Telephone | 5175430978 |
| Practice Fax Number | 5175411548 |
| Mailing Telephone | 5175430978 |
| Mailing Fax Number | 5175411548 |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2010-01-26 |
| Authorized Official Name | DR. JOSEPH LARSON WILDERN (OWNER) |
| Authorized Official Telephone | 5175430978 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
201 S COCHRAN AVE |
| City | CHARLOTTE |
| State | MI |
| Zip Code | 48813-1550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568435873 | Wilderns Drug Store | Durable Medical Equipment & Medical Supplies | 201 S Cochran Ave, Charlotte, MI 48813-1550 | 2006-02-08 |
| 1952651820 | Sparrow Community Care | Durable Medical Equipment & Medical Supplies | 201 S Cochran Ave, Charlotte, MI 48813-1550 | 2012-09-18 |
| 1497878433 | Penny Anne Mann | Pharmacist | 201 S Cochran Ave, Charlotte, MI 48813-1550 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212072 | Alexandria Bower-nelson | Physician Assistant | 1302 Porter Drive, Charlotte, MI 48813 | 2020-07-15 |
| 1477052702 | Tayla Palacios | Occupational Therapy Assistant | 202 Warren St, Charlotte, MI 48813 | 2018-02-01 |
| 1043359417 | Frederic Wagner | Dentist | 229 S Cochran Avenue, Charlotte, MI 48813 | 2007-02-05 |
| 1154493971 | Debbie Haymowattee Hallak | Internal Medicine | 616 Meijer St, Charlotte, MI 48813 | 2006-11-15 |
| 1437171485 | Eaton County Health and Rehabilitation Services | Skilled Nursing Facility | 530 W Beech St, Charlotte, MI 48813 | 2006-07-25 |
| 1689694671 | Anthony E Marl | Internal Medicine | 123 Lansing St., Suite 3a, Charlotte, MI 48813 | 2006-07-20 |
| 1194754879 | Jeannine M Brake-norder | Optometrist | 123 Lansing Street, Charlotte, MI 48813 | 2006-07-03 |
| 1922537356 | Linda Gail Sherrill | Counselor | 114 E Lawrence Ave, Suite 130, Charlotte, MI 48813 | 2017-06-08 |
| 1801936000 | John D Curtis | Dentist | 229 S Cochran Avenue, Charlotte, MI 48813 | 2007-02-07 |
| 1811036262 | Painless Dentistry LLC | Dentist | 229 S Cochran Avenue, Charlotte, MI 48813 | 2007-02-05 |
| Find all providers in zip 48813 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285258244 | Royal Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 3709 Eastway Dr Ste 101, Charlotte, NC 28205-6266 | 2020-06-04 |
| 1427681667 | Prism Medical Products, L.L.C. | Durable Medical Equipment & Medical Supplies | 9635 Southern Pine Blvd Ste 100, Charlotte, NC 28273-5546 | 2020-02-17 |
| 1588204846 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 2520 Whitehall Park Dr Ste 1000, Charlotte, NC 28273 | 2020-01-14 |
| 1710529458 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 200 Hawthorne Ln Ste T1578, Charlotte, NC 28204-2515 | 2019-10-15 |
| 1861040750 | Helen C Ananti | Durable Medical Equipment & Medical Supplies | 7401 The Plz Ste C, Charlotte, NC 28215-1925 | 2019-09-03 |
| 1407326416 | Affordable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 7200 Albemarle Rd Ste E, Charlotte, NC 28227-8110 | 2018-12-03 |
| 1053895102 | Carolinas Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 | 2018-09-24 |
| 1821574955 | Jeff Gauer | Durable Medical Equipment & Medical Supplies | 9517 Monroe Rd Ste H, Charlotte, NC 28270-1489 | 2018-07-11 |
| 1871089094 | Unyq Design Inc | Durable Medical Equipment & Medical Supplies | 1776 Statesville Ave # 10117, Charlotte, NC 28206-3013 | 2018-07-11 |
| 1225524671 | Jevetta R Wade | Durable Medical Equipment & Medical Supplies | 8828 Balmoral Park Dr, Charlotte, NC 28277-1338 | 2018-07-09 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.