Organization Active NPI

James, M. Weiss, MD

  • Non-Pharmacy Dispensing Site
  • Germantown, MD
National Provider Identifier
1205378742
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
D0044709 Issued in MD
Legal business name
JAMES, M. WEISS, MD
Practice address
13211 Executive Park Ter
Germantown, MD 20874-2647
Phone
(479) 636-9702
Fax
(877) 427-2307
NPI assigned
Nov 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Authorized official

Name
Mackenzie Hahn
Title
Ncpdp Coordinator
Phone
(479) 636-9702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X D0044709 MD Primary

Addresses

Primary practice location

13211 Executive Park Ter
Germantown, MD 20874-2647

Mailing address

PO Box 3328
Bentonville, AR 72712
Phone (479) 636-9702

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1205378742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3328",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "72712",
            "telephone_number": "479-636-9702",
            "fax_number": "877-427-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13211 EXECUTIVE PARK TER",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742647",
            "telephone_number": "479-636-9702",
            "fax_number": "877-427-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES, M. WEISS, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_title_or_position": "NCPDP COORDINATOR",
        "authorized_official_telephone_number": "479-636-9702"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "MD",
            "license": "D0044709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.