Individual provider Active NPI

Michael J Weber, RPH

  • Pharmacist
  • Duchesne, UT
National Provider Identifier
1609918382
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
294596-1701 Issued in UT
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1063651669OtherDVMC PHARMACY NPI
870276435MedicaidUT

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

LicenseStateTypeSpecialty
294596-1701UTMDPharmacist

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.

Verify at the official NPI Registry.