IndividualActive
Mary Jo Withered, REGISTERED PHARMACIS
NPI 1679868285 · Pharmacist · Lafayette, IN
Mary Jo Withered, REGISTERED PHARMACIS is a Pharmacist provider in Lafayette, IN (NPI 1679868285).
Provider details
- NPI number
- 1679868285
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- REGISTERED PHARMACIS
- Sex
- Female
- Sole proprietor
- Yes
- License
- IN26013681A (IN)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3630 State Road 26 E
T-1762
Lafayette, IN 47905-4807
Phone: (765) 447-4411
Street-level locationGet directions
Mailing address
3630 State Road 26 E
Lafayette, IN 47905-4807
Registry dates
- Enumerated
- 2011-06-10
- Last updated
- 2011-06-10
Frequently asked questions
- What is Mary Jo Withered's NPI number?
- Mary Jo Withered's National Provider Identifier (NPI) is 1679868285, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Jo Withered's specialty?
- Mary Jo Withered is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Mary Jo Withered located?
- Mary Jo Withered's practice location on file with NPPES is 3630 State Road 26 E, Lafayette, IN 47905-4807.
- What is Mary Jo Withered's phone number?
- The practice phone number listed in the NPPES registry for Mary Jo Withered is (765) 447-4411.
- Is Mary Jo Withered's NPI active?
- Yes — Mary Jo Withered's NPI (1679868285) is active in the NPPES registry as of the last update on 2011-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.