Active NPI
Josh Weidler
- Pharmacist
- Wildwood, MO
National Provider Identifier
1023497716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2013024731
- Practice address
- 100 Plaza Dr
Wildwood, MO 63040-1227 - Phone
- (636) 273-5206
- NPI assigned
- May 27, 2015
- Last updated
- May 27, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2013024731 | MO | Primary |
Addresses
Primary practice location
100 Plaza Dr
Wildwood, MO 63040-1227
Mailing address
100 Plaza Dr
Wildwood, MO 63040-1227
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013024731 | MO | 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": "1432684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432684800000",
"number": "1023497716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PLAZA DR",
"city": "WILDWOOD",
"state": "MO",
"postal_code": "630401227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PLAZA DR",
"city": "WILDWOOD",
"state": "MO",
"postal_code": "630401227",
"telephone_number": "636-273-5206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIDLER",
"first_name": "JOSH",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-27",
"last_updated": "2015-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2013024731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wildwood, MO
- Veritas Counseling LLC
- Nicholas Voorhees
- Walgreen Co (Walgreens #06155)
- Michael Keith Wangerin
- Jean Wehmeyer, CRNFA
- West County Christian Counseling
- Matthew Lee Wheeler, D.C.
- Whispering Oaks Health Care Center, Inc
- Whispering Oaks Health Care, Inc.
- Whispering Oaks RCF Management Co, Inc. (Whispering Oaks)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.