Clare Weitz, PHARMD
Individual provider Active NPI Pharmacist · Columbus, MS
NPI 1235580465 · NPPES record last updated Jun 29, 2016
Key facts
- NPI
- 1235580465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS42864 (FL)
- Practice address
- 201 Independence
Suite 2255
Columbus, MS 39710-5300 - Phone
- (662) 434-2292
- NPI assigned
- Jun 29, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS42864 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS42864 | FL | Yes |
Addresses
Primary practice location
201 Independence
Suite 2255
Columbus, MS 39710-5300
Mailing address
201 Independence
Suite 2255
Columbus, MS 39710-5300
NPI Registry JSON
{
"created_epoch": "1467158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467158400000",
"number": "1235580465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 INDEPENDENCE",
"address_2": "SUITE 2255",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397105300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 INDEPENDENCE",
"address_2": "SUITE 2255",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397105300",
"telephone_number": "662-434-2292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEITZ",
"first_name": "CLARE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-29",
"last_updated": "2016-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS42864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.