NPIMap

Organization Active NPI

Weimer Drug Store, Inc

Doing business as Patterson Daily Healthcare Pharmacy

  • Long Term Care Pharmacy
  • Salina, KS
National Provider Identifier
1083016679
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
2-13047 Issued in KS
Legal business name
WEIMER DRUG STORE, INC
Doing business as
Patterson Daily Healthcare Pharmacy
Practice address
685 Lewis Ave
Salina, KS 67401
Phone
(785) 825-0778
Fax
(785) 827-7415
NPI assigned
Sep 25, 2014
Last updated
Nov 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Authorized official

Name
Timothy L Gruen, RPH
Title
Pic and Manager
Phone
(785) 825-0778

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2-13047 KS
Long Term Care Pharmacy 3336L0003X 2-13047 KS Primary

Addresses

Primary practice location

685 Lewis Ave
Salina, KS 67401

Mailing address

685 Lewis Ave
Salina, KS 67401
Phone (785) 825-0778

Other identifiers 1

IdentifierTypeStateIssuer
2-13047OtherKSKANSAS STATE PHARMACY LISCENSE

Other names 1

  • Patterson Daily Healthcare Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Weimer Drug Co Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

685 Lewis Ave
Salina, KS 67401
Phone (785) 825-0778

NPI Registry JSON

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1083016679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 LEWIS AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "67401",
            "telephone_number": "785-825-0778",
            "fax_number": "785-827-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 LEWIS AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "67401",
            "telephone_number": "785-825-0778",
            "fax_number": "785-827-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIMER DRUG STORE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "GRUEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PIC AND MANAGER",
        "authorized_official_telephone_number": "785-825-0778",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-13047",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "KS",
            "license": "2-13047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS STATE PHARMACY LISCENSE",
            "identifier": "2-13047",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patterson Daily Healthcare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.