Active NPI
Brandon Alan Weidner
- Pharmacist
- Brownsburg, IN
National Provider Identifier
1194326579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26025549A
- Practice address
- 400 W Northfield Dr
Brownsburg, IN 46112-8122 - Phone
- (317) 858-1415
- Fax
- (317) 858-1796
- NPI assigned
- Nov 3, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26025549A | IN | Primary |
Addresses
Primary practice location
400 W Northfield Dr
Brownsburg, IN 46112-8122
Mailing address
304 W Washington St
Shelbyville, IN 46176-1153
Phone (317) 642-8505
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26025549A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1194326579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 W WASHINGTON ST",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461761153",
"telephone_number": "317-642-8505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W NORTHFIELD DR",
"city": "BROWNSBURG",
"state": "IN",
"postal_code": "461128122",
"telephone_number": "317-858-1415",
"fax_number": "317-858-1796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIDNER",
"first_name": "BRANDON",
"middle_name": "ALAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-03",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26025549A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brownsburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.