John Adam Weyrauch V, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

03129795 Issued in OH

Practice address

1095 S Main St
Kroger Pharmacy
Centerville, OH 45458-3840

Phone

(937) 439-6420

Fax

(937) 439-6420

NPI assigned

Jan 25, 2008

Last updated

Mar 14, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1427235043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 S MAIN ST",
            "address_2": "KROGER PHARMACY",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454583840",
            "telephone_number": "937-439-6420",
            "fax_number": "937-439-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 S MAIN ST",
            "address_2": "KROGER PHARMACY",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454583840",
            "telephone_number": "937-439-6420",
            "fax_number": "937-439-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEYRAUCH",
        "first_name": "JOHN",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "name_suffix": "V",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-25",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03129795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Point Optical Centerville (Pearle Vision)
• Hannah Westerbeck
• Marsha K Weston, PSY.D.
• Courtney Wetzel, LPCC-S
• Jenna Weyler, PA-C
• Darnell White, PEER SUPPORT
• Katherine Ann Whitehair
• Lori Lynn Whitehead, APRN-CNP
• Amelia Kaidi Whitlatch, NP-C
• Cheryl Claire Whitmore, PSYD

• Pharmacist in Centerville, OH
• Providers in Centerville, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.