Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jeffrey Alan Wildern

Pharmacist in Charlotte, MI · enumerated 2020 · practices at Woodward Detroit Cvs, L.L.C..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053942102

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Registry record

Entity type Individual (Type 1)

Name Jeffrey Alan Wildern

Sex Male

Practice address 301 S Cochran Ave, Charlotte, MI, 48813

Phone (517) 543-4905

Enumeration date Jan 28, 2020

Last updated in NPPES Jan 28, 2020

Taxonomy & licenses

183500000X Pharmacist Pharmacy Service Providers · License 5302021355 (MI) Primary

Other identifiers

Identifier	Type	State	Issuer
5302021355	Other	MI	STATE LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Jeffrey Wildern?

The National Provider Identifier (NPI) for Jeffrey Wildern is 1053942102, a Type 1 (individual) record in the CMS NPPES registry.

Where does Jeffrey Wildern practice?

The practice location on file with NPPES is in Charlotte, MI. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

Browse all →

Woodward Detroit Cvs, L.L.C. Pharmacy · Charlotte, MI NPI 1194837039 Stacy Weldon Pharmacist · Charlotte, MI NPI 1487173134 William Clay Pharmacist · Charlotte, MI NPI 1386279701 Craig Ross Pharmacist · Charlotte, MI NPI 1184259061

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-01-28.