What is Clark Widmoyer's NPI number?

Clark Widmoyer's National Provider Identifier (NPI) is 1811279862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Clark Widmoyer's specialty?

Clark Widmoyer is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Clark Widmoyer located?

Clark Widmoyer's practice location on file with NPPES is 102 E Hively Ave, Elkhart, IN 46517-2194.

What is Clark Widmoyer's phone number?

The practice phone number listed in the NPPES registry for Clark Widmoyer is (574) 522-2197.

Is Clark Widmoyer's NPI active?

Yes — Clark Widmoyer's NPI (1811279862) is active in the NPPES registry as of the last update on 2011-09-15.

IndividualActive

Clark Widmoyer

NPI 1811279862 · Pharmacist · Elkhart, IN

Clark Widmoyer is a Pharmacist provider in Elkhart, IN (NPI 1811279862).

Provider details

NPI number: 1811279862
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Sex: Male
Sole proprietor: Yes
License: 26015425A (IN)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 26015425A (IN)
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
14 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

102 E Hively Ave

Elkhart, IN 46517-2194

Phone: (574) 522-2197

Fax: (574) 522-9352

Street-level locationGet directions

Mailing address