Organization Active NPI

Weber & Judd Co

Doing business as Weber & Judd - South Broadway

  • Community/Retail Pharmacy
  • Rochester, MN
National Provider Identifier
1033521273
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
264403 Issued in MN
Legal business name
WEBER & JUDD CO
Doing business as
Weber & Judd - South Broadway
Practice address
18 9TH St SE
Rochester, MN 55904-6423
Phone
(507) 282-1422
Fax
(507) 282-1652
NPI assigned
May 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Wade Hanson
Title
Owner, Manager
Phone
(507) 289-1666

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 264403 MN Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

18 9TH St SE
Rochester, MN 55904-6423

Mailing address

1814 15TH St NW
Rochester, MN 55901-0707
Phone (507) 289-1666

Other identifiers 1

IdentifierTypeStateIssuer
2145864OtherPK

Other names 1

  • Weber & Judd - South Broadway Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1033521273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 15TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559010707",
            "telephone_number": "507-289-1666",
            "fax_number": "507-536-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 9TH ST SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559046423",
            "telephone_number": "507-282-1422",
            "fax_number": "507-282-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBER & JUDD CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "OWNER, MANAGER",
        "authorized_official_telephone_number": "507-289-1666"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "264403",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145864",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weber & Judd - South Broadway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.