Organization Active NPI

Weber & Judd Co

  • Community/Retail Pharmacy
  • Rochester, MN
National Provider Identifier
1669524914
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
262013 Issued in MN
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

Updated by the provider on Jun 20, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
130143800MedicaidMN
2424377OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Weber & Judd - Clinic Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.