Active NPI
Paula K Weaver
- Pharmacist
- Saint Louis, MO
National Provider Identifier
1205872595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 44225
- Practice address
- 5201 Chippewa St
Saint Louis, MO 63109-2355 - Phone
- (314) 352-5201
- NPI assigned
- Jun 22, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 44225 | MO | Primary |
Addresses
Primary practice location
5201 Chippewa St
Saint Louis, MO 63109-2355
Mailing address
5465 Goethe Ave
Saint Louis, MO 63109-3206
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 |
|---|---|---|---|
| 44225 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205872595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5465 GOETHE AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631093206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 CHIPPEWA ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631092355",
"telephone_number": "314-352-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "PAULA",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "44225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.