Victoria Anne Weideman, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS28684 Issued in FL

Practice address

5114 Palmetto Dr
Fort Pierce, FL 34982-7442

Phone

(772) 468-0074

NPI assigned

Mar 6, 2008

Last updated

Mar 6, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hillmoor Plaza Pharmacy Inc

  dba IV Plus

  • Community/Retail Pharmacy
  • Wellington, FL
  • NPI 1053356113
  NPD (past) Authorized official

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1619147501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 VIRGINIA AVE",
            "address_2": "SUITE 31",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825829",
            "telephone_number": "772-468-0074",
            "fax_number": "772-468-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5114 PALMETTO DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349827442",
            "telephone_number": "772-468-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDEMAN",
        "first_name": "VICTORIA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS28684",
            "primary": true
        },
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "FL",
            "license": "PS28684",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda R Weatherman, MSW, LCSW
• Shativius C Webster, CNA
• Zamarys Webster, LCSW
• Nathan Weddell
• Iona Elizabeth Wedderburn, NP
• April Weigand
• Mary Elizabeth Weiss, MA, LMHC, LPC
• Robert Urbain Weiss IV, MD
• Wellness Wise, Inc.
• Chiquita Lynn Wells, M.A.

• Pharmacist in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.