Organization Active NPI

Weimer Drug Co., Inc.

Doing business as Patterson Health Mart Pharmacy Lincoln

  • Durable Medical Equipment & Medical Supplies
  • Lincoln, KS
National Provider Identifier
1336530195
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2-13077 Issued in KS
Legal business name
WEIMER DRUG CO., INC.
Doing business as
Patterson Health Mart Pharmacy Lincoln
Practice address
204 W Lincoln Ave
Lincoln, KS 67455-1920
Phone
(785) 524-4649
Fax
(785) 524-3402
NPI assigned
Feb 13, 2015
Last updated
Oct 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Lindy Clark
Title
DME Billing Administrator
Phone
(785) 632-3115

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2-13077 KS Primary
Oxygen Equipment & Supplies (DME) 332BX2000X NU
Prosthetic/Orthotic Supplier 335E00000X NU

Addresses

Primary practice location

204 W Lincoln Ave
Lincoln, KS 67455-1920

Mailing address

422 Lincoln Ave
Clay Center, KS 67432-2908
Phone (785) 632-3115

Other identifiers 1

IdentifierTypeStateIssuer
2-13077OtherKSPHARMACY LICENSE

Other names 1

  • PATTERSON HEALTH MART PHARMACY LINCOLN Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Weimer Drug Co Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

204 W Lincoln Ave
Lincoln, KS 67455
Phone (785) 524-2629

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1336530195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 LINCOLN AVE",
            "city": "CLAY CENTER",
            "state": "KS",
            "postal_code": "674322908",
            "telephone_number": "785-632-3115",
            "fax_number": "785-632-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W LINCOLN AVE",
            "city": "LINCOLN",
            "state": "KS",
            "postal_code": "674551920",
            "telephone_number": "785-524-4649",
            "fax_number": "785-524-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIMER DRUG CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LINDY",
        "authorized_official_title_or_position": "DME BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "785-632-3115"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KS",
            "license": "2-13077",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "2-13077",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PATTERSON HEALTH MART PHARMACY LINCOLN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PATTERSON HEALTH MART PHARMACY LINCOLN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.

Verify at the official NPI Registry.