Active NPI
Michael J Weber, RPH
- Pharmacist
- Duchesne, UT
National Provider Identifier
1609918382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 294596-1701
- Practice address
- 50 East 200 South
Duchesne, UT 84021 - Phone
- (435) 738-5403
- Fax
- (435) 735-5405
- NPI assigned
- Feb 12, 2007
- Last updated
- Dec 14, 2018
- 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 | 294596-1701 | UT | Primary |
Addresses
Primary practice location
50 East 200 South
Duchesne, UT 84021
Mailing address
50 East 200 South
Duchesne, UT 84021-0003
Phone (801) 574-8957
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063651669 | Other | DVMC PHARMACY NPI | |
| 870276435 | Medicaid | UT |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 294596-1701 | UT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544745600000",
"number": "1609918382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 EAST 200 SOUTH",
"city": "DUCHESNE",
"state": "UT",
"postal_code": "840210003",
"telephone_number": "801-574-8957",
"fax_number": "435-738-5405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 EAST 200 SOUTH",
"city": "DUCHESNE",
"state": "UT",
"postal_code": "84021",
"telephone_number": "435-738-5403",
"fax_number": "435-735-5405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2018-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "294596-1701",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DVMC PHARMACY NPI",
"identifier": "1063651669",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "870276435",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duchesne, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.