Randolph Jay Weaver, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

36397 Issued in NY

Practice address

181 Seneca St
Hornell, NY 14843-1336

Phone

(607) 324-2212

Fax

(607) 324-2243

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maple City Pharmacy

  • Pharmacy
  • Hornell, NY
  • NPI 1689717050
  NPD (past) Authorized official

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336168160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 SENECA ST",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431336",
            "telephone_number": "607-324-2212",
            "fax_number": "607-324-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 SENECA ST",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431336",
            "telephone_number": "607-324-2212",
            "fax_number": "607-324-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "RANDOLPH",
        "middle_name": "JAY",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "36397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East, LP (Vision Center 30-2326)
• Walgreen Co (Walgreens #19760)
• Katherine L Warner, RN
• Cortni Watson
• Rachael Watson, OTR/L
• Jenna M Webster
• Wegmans Food Markets, Inc. (Wegmans Pharmacy #017)
• Gerald Weinberger, MD
• Emilee R Welton, DO
• Western New York Med-Psych PLLC

• Pharmacist in Hornell, NY
• Providers in Hornell, NY by specialty
• Pharmacist in New York

• 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.

Verify at the official NPI Registry.