Active NPI
Jodi Ann Weinert, RPH
- Pharmacist
- Syracuse, NY
National Provider Identifier
1407179120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 039612
- Practice address
- 1819 W Genesee St
Syracuse, NY 13204-1811 - Phone
- (315) 488-2799
- Fax
- (716) 692-0616
- NPI assigned
- Mar 9, 2010
- Last updated
- Sep 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 039612 | NY | Primary |
Addresses
Primary practice location
1819 W Genesee St
Syracuse, NY 13204-1811
Mailing address
82 Joseph Dr
Tonawanda, NY 14150-6222
Phone (716) 871-1490
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039612 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Eastern Co Inc | Past | Accepting new patients | |
| Walgreen Eastern Co Inc | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 4
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": "1268092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1407179120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 JOSEPH DR",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "141506222",
"telephone_number": "716-871-1490",
"fax_number": "716-871-1496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 W GENESEE ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132041811",
"telephone_number": "315-488-2799",
"fax_number": "716-692-0616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINERT",
"first_name": "JODI",
"middle_name": "ANN",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-09",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "039612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.