Active NPI
Samuel C Weller III, BS
- Pharmacist
- Lehigh Acres, FL
National Provider Identifier
1497849566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS37001
- Practice address
- 57 Homestead Rd N
Lehigh Acres, FL 33936 - Phone
- (239) 369-0141
- Fax
- (239) 368-0843
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 | PS37001 | FL | Primary |
Addresses
Primary practice location
57 Homestead Rd N
Lehigh Acres, FL 33936
Mailing address
808 Jefferson Ave
Lehigh Acres, FL 33972
Phone (239) 368-0990
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS37001 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aryan Retail LLC | Past | Accepting new patients | |
| Aryan Retail LLC | 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.
-
- Long Term Care Pharmacy
- Lehigh Acres, FL
- NPI 1265259956
-
- Community/Retail Pharmacy
- Lehigh Acres, FL
- NPI 1407833437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497849566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 JEFFERSON AVE",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "33972",
"telephone_number": "239-368-0990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 HOMESTEAD RD N",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "33936",
"telephone_number": "239-369-0141",
"fax_number": "239-368-0843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLER",
"first_name": "SAMUEL",
"middle_name": "C",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS37001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.