Individual provider Active NPI

Katherine Weaver, PHARMD

  • Pharmacist
  • Wyoming, MI
National Provider Identifier
1528998135
Registry record updated May 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302418303 Issued in MI
Practice address
2900 Burlingame Ave SW
Wyoming, MI 49509-2610
Phone
(616) 538-1490
NPI assigned
May 23, 2026
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302418303 MI Primary

Addresses

Primary practice location

2900 Burlingame Ave SW
Wyoming, MI 49509-2610

Mailing address

780 Cumberland Ave SE
Lowell, MI 49331-9681

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

LicenseStateTypeSpecialty
5302418303MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Prevos Family Markets LLC Past Accepting new patients
Prevos Family Markets 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.

NPI Registry JSON

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

{
    "created_epoch": "1779494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779494400000",
    "number": "1528998135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 CUMBERLAND AVE SE",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493319681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 BURLINGAME AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495092610",
            "telephone_number": "616-538-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "KATHERINE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-05-23",
        "last_updated": "2026-05-23",
        "certification_date": "2026-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302418303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2026; 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.