Active NPI
Weber & Judd Co
- Community/Retail Pharmacy
- Rochester, MN
National Provider Identifier
1669524914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 262013
- Legal business name
- WEBER & JUDD CO
- Practice address
- 210 9TH St SE
Rochester, MN 55904-6756 - Phone
- (507) 288-2483
- Fax
- (507) 287-1845
- NPI assigned
- Jan 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wade Hanson
- Title
- Manager
- Phone
- (507) 289-1666
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | |||
| Community/Retail Pharmacy | 3336C0003X | 262013 | MN | Primary |
Addresses
Primary practice location
210 9TH St SE
Rochester, MN 55904-6756
Mailing address
PO Box 5877
Rochester, MN 55903-5877
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130143800 | Medicaid | MN | |
| 2424377 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Weber & Judd - Clinic Pharmacy
National Provider Directory
National Provider DirectoryLocations
111 County Road 11 NW
Pine Island, MN 55963
Phone (507) 356-2476
136 Main St SW
Preston, MN 55965
Phone (507) 765-2156
101 1st St SW
Rochester, MN 55902
Phone (507) 289-0716
1814 15th St NW
Rochester, MN 55901
Phone (507) 285-9079
501 N Park Dr
Spring Valley, MN 55975
Phone (507) 346-7273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340150400000",
"number": "1669524914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5877",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559035877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 9TH ST SE",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559046756",
"telephone_number": "507-288-2483",
"fax_number": "507-287-1845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEBER & JUDD CO",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-17",
"last_updated": "2012-06-20",
"status": "A",
"authorized_official_last_name": "HANSON",
"authorized_official_first_name": "WADE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "507-289-1666"
},
"taxonomies": [
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MN",
"license": "262013",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130143800",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "2424377",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Weber & Judd - Clinic Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.