Organization Active NPI

Bill Weaver

  • Community/Retail Pharmacy
  • Pittsburgh, PA
National Provider Identifier
1073659686
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BILL WEAVER
Practice address
4028 Beechwood Blvd
Pittsburgh, PA 15217-2680
Phone
(412) 422-9004
Fax
(412) 422-5170
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
R. William Weaver III, RPH
Title
Owner Pharmacist
Phone
(412) 422-9004

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP414425L PA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

4028 Beechwood Blvd
Pittsburgh, PA 15217-2680

Mailing address

4028 Beechwood Blvd
Pittsburgh, PA 15217-2680

Other identifiers 1

IdentifierTypeStateIssuer
3961946OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • MEDICINE SHOPPE 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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1073659686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4028 BEECHWOOD BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4028 BEECHWOOD BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172680",
            "telephone_number": "412-422-9004",
            "fax_number": "412-422-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILL WEAVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "R.",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "412-422-9004",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP414425L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3961946",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.