Active NPI
Bruce G Weis, PHARM.D.
- Pharmacist
- Atascadero, CA
National Provider Identifier
1033493739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH30652
- Practice address
- 8005 El Camino Real
Atascadero, CA 93422-5211 - Phone
- (805) 462-9272
- Fax
- (805) 462-8406
- NPI assigned
- Sep 30, 2011
- Last updated
- Sep 30, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH30652 | CA | Primary |
| Pharmacist | 183500000X | 06783 | NV |
Addresses
Primary practice location
8005 El Camino Real
Atascadero, CA 93422-5211
Mailing address
8005 El Camino Real
Atascadero, CA 93422-5211
Phone (805) 462-9272
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 |
|---|---|---|---|
| RPH30652 | CA | MD | Pharmacist |
| 06783 | NV | 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": "1317340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317340800000",
"number": "1033493739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8005 EL CAMINO REAL",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934225211",
"telephone_number": "805-462-9272",
"fax_number": "805-462-8406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8005 EL CAMINO REAL",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934225211",
"telephone_number": "805-462-9272",
"fax_number": "805-462-8406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIS",
"first_name": "BRUCE",
"middle_name": "G",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-30",
"last_updated": "2011-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH30652",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "06783",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atascadero, CA
- Briana Watson
- Richard Lee Watz, D.C.
- Christopher Allen Webb, PHD
- Samuel Weber
- Hayley Wechsler, PHD
- Teresa L Weitkum, R.N.
- Welcome Home Atascadero, Inc (Welcome Home Atascadero)
- Wells and Hile OD an Optometric Corporation (Optometric Care Associates)
- Jon Paul Wells, D.C.
- Stanley Charles Wernick, D.D.S
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.