Individual provider Active NPI

Jodee Lynne Weghorst, RPH

  • Pharmacist
  • Triadelphia, WV
National Provider Identifier
1659668549
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP0004506 Issued in WV
Practice address
300 Cabela Dr
T-2231
Triadelphia, WV 26059-1023
Phone
(304) 547-2981
Fax
(304) 547-2981
NPI assigned
Jun 30, 2011
Last updated
Jun 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP0004506 WV Primary

Addresses

Primary practice location

300 Cabela Dr
T-2231
Triadelphia, WV 26059-1023

Mailing address

300 Cabela Dr
T-2231
Triadelphia, WV 26059-1023
Phone (304) 547-2981

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
RP0004506WVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1659668549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CABELA DR",
            "address_2": "T-2231",
            "city": "TRIADELPHIA",
            "state": "WV",
            "postal_code": "260591023",
            "telephone_number": "304-547-2981",
            "fax_number": "304-547-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CABELA DR",
            "address_2": "T-2231",
            "city": "TRIADELPHIA",
            "state": "WV",
            "postal_code": "260591023",
            "telephone_number": "304-547-2981",
            "fax_number": "304-547-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGHORST",
        "first_name": "JODEE",
        "middle_name": "LYNNE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0004506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Triadelphia, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.