Individual provider Active NPI

Bryan Lee Weaver, PHARMD, MBA, RPH

  • Pharmacist
  • Elyria, OH
National Provider Identifier
1366328981
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03445840 Issued in OH
Practice address
320 Market Dr
Elyria, OH 44035-2887
Phone
(440) 324-1742
NPI assigned
Aug 12, 2025
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03445840 OH Primary

Addresses

Primary practice location

320 Market Dr
Elyria, OH 44035-2887

Mailing address

106 Ferris State CT
Elyria, OH 44035-8842
Phone (440) 731-2673

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
Credentials
Master of Business Administration, Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
03445840OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Riser Foods Company PastSince Aug 17, 2025 Accepting new patients
Riser Foods Company PastSince Aug 17, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1366328981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 FERRIS STATE CT",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440358842",
            "telephone_number": "440-731-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MARKET DR",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440352887",
            "telephone_number": "440-324-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "BRYAN",
        "middle_name": "LEE",
        "credential": "PHARMD, MBA, RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03445840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.