Gilbert Weise Jr.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS23567 Issued in FL

Practice address

4343 Colonial Ave
Jacksonville, FL 32210-3326

Phone

(904) 388-1564

Fax

(903) 384-0569

NPI assigned

Jul 13, 2013

Sex

Male

Sole proprietor

Yes

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Weise Prescription Shop Inc

  • Pharmacy
  • Jacksonville, FL
  • NPI 1710052063
  NPD (past) Authorized official

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

{
    "created_epoch": "1373673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373673600000",
    "number": "1609217017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 COLONIAL AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103326",
            "telephone_number": "904-388-1564",
            "fax_number": "903-384-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 COLONIAL AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103326",
            "telephone_number": "904-388-1564",
            "fax_number": "903-384-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISE",
        "first_name": "GILBERT",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-13",
        "last_updated": "2013-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS23567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew J Weinstein, MD PA
• Saul Frank Weinstein, M.D.
• Melanie Justine Hare Weintraub
• Megan Elizabeth Weis
• Weise Prescription Shop Inc
• Wyatt Weiseman, PT, DPT
• Ross Weisheit, LMT
• Hannah Gaillard Weiss, DNP
• Howard Bruce Weiss, D.O.
• Joseph Allan Weiss, RN

• Pharmacist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.