Individual provider Active NPI

Eric John Weetman, PHARMD, MHA

  • Pharmacist
  • North Liberty, IA
National Provider Identifier
1396657441
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
25648 Issued in IA
Practice address
701 W Forevergreen Rd Ste 1605
North Liberty, IA 52317-9848
Phone
(800) 777-8442
NPI assigned
Sep 22, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 25648 IA Primary

Addresses

Primary practice location

701 W Forevergreen Rd Ste 1605
North Liberty, IA 52317-9848

Mailing address

701 W Forevergreen Rd Ste 1605
North Liberty, IA 52317-9848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1396657441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W FOREVERGREEN RD STE 1605",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W FOREVERGREEN RD STE 1605",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179848",
            "telephone_number": "800-777-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEETMAN",
        "first_name": "ERIC",
        "middle_name": "JOHN",
        "credential": "PHARMD, MHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "25648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.