Active NPI
Susan Marie Weaks, PHARM.D.
- Pharmacist
- Paducah, KY
National Provider Identifier
1023024494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 012002
- Practice address
- 521 Lone Oak Rd
Paducah, KY 42003-4543 - Phone
- (270) 442-6659
- Fax
- (270) 442-8982
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 012002 | KY | Primary |
| Pharmacist | 183500000X | 051.290951 | IL |
Addresses
Primary practice location
521 Lone Oak Rd
Paducah, KY 42003-4543
Mailing address
4360 Contest Rd
Paducah, KY 42001-8846
Phone (270) 655-6151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.290951 | IL | MD | Pharmacist |
| 012002 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1023024494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4360 CONTEST RD",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420018846",
"telephone_number": "270-655-6151",
"fax_number": "270-655-6301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 LONE OAK RD",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420034543",
"telephone_number": "270-442-6659",
"fax_number": "270-442-8982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAKS",
"first_name": "SUSAN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "012002",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.290951",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.