Individual provider Active NPI

Carol Jordan Weiland, PD

  • Pharmacist
  • Helena, AR
National Provider Identifier
1467161604
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
07937 Issued in AR
Practice address
533 Porter St
Helena, AR 72342-3217
Phone
(870) 338-3414
Fax
(870) 338-3415
NPI assigned
Nov 16, 2022
Last updated
Nov 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 07937 AR Primary

Addresses

Primary practice location

533 Porter St
Helena, AR 72342-3217

Mailing address

1627 Highway 61 Jonestown Rd
Coahoma, MS 38617-9790
Phone (662) 358-7797

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

State licenses

LicenseStateTypeSpecialty
07937ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Services, Inc. CurrentSince Nov 20, 2022 Accepting new patients
Specialty Services, Inc. CurrentSince Nov 20, 2022 Accepting new patients

Locations

1627 Highway 61 Jonestown Rd
Coahoma, MS 38617
Phone (662) 358-4500

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": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1467161604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 HIGHWAY 61 JONESTOWN RD",
            "city": "COAHOMA",
            "state": "MS",
            "postal_code": "386179790",
            "telephone_number": "662-358-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 PORTER ST",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723423217",
            "telephone_number": "870-338-3414",
            "fax_number": "870-338-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEILAND",
        "first_name": "CAROL",
        "middle_name": "JORDAN",
        "credential": "PD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "07937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.