Individual provider Active NPI

Michelle Weaver

  • Pharmacist
  • Largo, FL
National Provider Identifier
1124508783
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS58100 Issued in FL
Practice address
3825 E Bay Dr
Largo, FL 33771-1936
Phone
(727) 538-8718
NPI assigned
Aug 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS58100 FL Primary

Addresses

Primary practice location

3825 E Bay Dr
Largo, FL 33771-1936

Mailing address

601 Rosery Rd NE Apt 3406
Largo, FL 33770-3824
Phone (813) 810-9456

Other practice location 1

2491 Brentwood Dr
Clearwater, FL 33764-4945
Phone (813) 810-9456

Other practice location 2

120 Carillon Pkwy
Saint Petersburg, FL 33716-1201
Phone (727) 540-1666

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

State licenses

LicenseStateTypeSpecialty
PS58100FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Publix Super Markets Inc Past Accepting new patients
Publix Super Markets Inc 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1124508783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ROSERY RD NE APT 3406",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703824",
            "telephone_number": "813-810-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 E BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337711936",
            "telephone_number": "727-538-8718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2491 Brentwood Dr",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337644945",
            "country_code": "US",
            "telephone_number": "813-810-9456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Carillon Pkwy",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337161201",
            "country_code": "US",
            "telephone_number": "727-540-1666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS58100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.