Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679868285 Individual Practitioner Female Practitioner

Mary Jo Withered , REGISTERED PHARMACIS

Pharmacist • Lafayette, IN

Professional Overview & Biography Verified Profile Summary

Mary Jo Withered, REGISTERED PHARMACIS is a registered healthcare professional specializing in Pharmacist in Lafayette, IN. Practice services are available at 3630 STATE ROAD 26 E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3630 State Road 26 E
T-1762

Lafayette, IN 479054807

Telephone 7654474411
Associated Practice Facility / Clinic
🏢 Cole Vision Corporation Facility NPI 1114244043

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Lafayette, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
90 Specialists

Practicing in Lafayette, IN (5218 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License IN IN26013681A

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1013202506

Doctor of Pharmacy (Pharm.D.)

NPI 1699060871

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 10, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2011

Registered at 3630 STATE ROAD 26 E, T-1762, LAFAYETTE, IN 479054807 (Tel: 7654474411)

📍
Updated Business Mailing Address June 10, 2011

Registered at 3630 STATE ROAD 26 E, T-1762, LAFAYETTE, IN 479054807 (Tel: 7654474411)

👤
Provider Name / Credentials Updated June 10, 2011

Recorded as MARY JO WITHERED, REGISTERED PHARMACIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2011

Pharmacist (License #IN26013681A in IN)

🟢
Initial NPI Registration & Enumeration June 10, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679868285
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2011
Last Update: June 10, 2011
Sole Proprietor: Yes

Mailing Address

3630 State Road 26 E, T-1762

Lafayette, IN 479054807

Phone: 7654474411

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.