Active NPI
Rene Lynn Weathers, RPH
- Pharmacist
- Aberdeen, NC
National Provider Identifier
1407183643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12669
- Practice address
- 1706 N Sandhills Blvd
Aberdeen, NC 28315-2004 - Phone
- (910) 944-1502
- Fax
- (910) 944-1641
- NPI assigned
- Nov 9, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302028770 | MI | |
| Pharmacist | 183500000X | 12669 | NC | Primary |
Addresses
Primary practice location
1706 N Sandhills Blvd
Aberdeen, NC 28315-2004
Mailing address
325 Legacy Lakes Way
Aberdeen, NC 28315-4042
Phone (910) 944-1502
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 |
|---|---|---|---|
| 5302028770 | MI | MD | Pharmacist |
| 12669 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510617600000",
"number": "1407183643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 LEGACY LAKES WAY",
"city": "ABERDEEN",
"state": "NC",
"postal_code": "283154042",
"telephone_number": "910-944-1502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 N SANDHILLS BLVD",
"city": "ABERDEEN",
"state": "NC",
"postal_code": "283152004",
"telephone_number": "910-944-1502",
"fax_number": "910-944-1641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEATHERS",
"first_name": "RENE",
"middle_name": "LYNN",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-09",
"last_updated": "2017-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302028770",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "12669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, NC
- Wal-Mart Stores East LP (Walmart Pharmacy 10-1097)
- Wal-Mart Stores East, LP. (Walmart pharmacy 10-3164)
- Walgreen Co (Walgreens #07096)
- David Michael Wallace, PHARMD
- Tammie C Watkins, PHARMD
- David M Wells, OD
- Julie West, PHARM.D
- Sarah Maria Westby
- Samantha Meghan White, RD LDN
- Chelsea Whitmire, M.A., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.