Organization Active NPI

T.P. Weaver & Sons Inc.

  • Pharmacy
  • De Leon, TX
National Provider Identifier
1093886319
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
00528 Issued in TX
Legal business name
T.P. WEAVER & SONS INC.
Practice address
124 N Texas St
De Leon, TX 76444-1857
Phone
(254) 893-6496
Fax
(254) 893-5341
NPI assigned
Nov 10, 2006
Last updated
Feb 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Mr. Sam Eugene Weaver Jr., RPH
Title
Pharmacist in Charge
Phone
(254) 893-6496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 00528 TX Primary

Addresses

Primary practice location

124 N Texas St
De Leon, TX 76444-1857

Mailing address

124 N Texas St
De Leon, TX 76444-1857
Phone (254) 893-6496

Other identifiers 2

IdentifierTypeStateIssuer
140706MedicaidTX
4518239OtherTXNABP

National Provider Directory

National Provider Directory

Locations

124 N Texas St
De Leon, TX 76444
Phone (254) 893-6496

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1093886319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N TEXAS ST",
            "city": "DE LEON",
            "state": "TX",
            "postal_code": "764441857",
            "telephone_number": "254-893-6496",
            "fax_number": "254-893-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N TEXAS ST",
            "city": "DE LEON",
            "state": "TX",
            "postal_code": "764441857",
            "telephone_number": "254-893-6496",
            "fax_number": "254-893-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.P. WEAVER & SONS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "254-893-6496",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "00528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140706",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4518239",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in De Leon, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.