Active NPI
Kira Nicole Weaver, PHARM D.
- Pharmacist
- Wildwood, FL
National Provider Identifier
1518562412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS59256
- Practice address
- 901 S Main St
Wildwood, FL 34785-5316 - Phone
- (352) 748-1414
- NPI assigned
- Dec 1, 2020
- Last updated
- Dec 1, 2020
- Sex
- Female
- 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 | PS59256 | FL | Primary |
Addresses
Primary practice location
901 S Main St
Wildwood, FL 34785-5316
Mailing address
901 S Main St
Wildwood, FL 34785-5316
Phone (352) 748-1414
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS59256 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Past | Accepting new patients | |
| Holiday CVS L.L.C. | 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, 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": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1518562412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 S MAIN ST",
"city": "WILDWOOD",
"state": "FL",
"postal_code": "347855316",
"telephone_number": "352-748-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 S MAIN ST",
"city": "WILDWOOD",
"state": "FL",
"postal_code": "347855316",
"telephone_number": "352-748-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "KIRA",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS59256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wildwood, FL
- Village Foot & Ankle P a
- Villagegate Care Collective Corporation
- Vannesa Joy Tarectecan Villegas
- Visionary Eye Care of Central Florida, Inc
- Vizavee Urgent & Primary Care, LLC
- Shirley Webb, COTA
- Wellness by Physicians, Inc. (physicians rehabilitation)
- West Florida Medical Associates, PA (Suncoast Primary Care Specialists Wildwood)
- Mary Margaret Wheeler, LCSW
- Wildwood Family Psychiatry, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.