IndividualActive
Kyle Wilson, PHARMD
NPI 1699073965 · Pharmacist · Pendleton, IN
Provider details
- NPI number
- 1699073965
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 26023687A (IN)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(82/100 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
2611 E 1100 N
Pendleton, IN 46064-9400
Phone: (765) 425-3170
Street-level locationGet directions
Mailing address
2611 E 1100 N
Pendleton, IN 46064-9400
Registry dates
- Enumerated
- 2011-03-10
- Last updated
- 2011-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.