Weaver Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH20021 Issued in FL

Legal business name

WEAVER PHARMACY INC

Doing business as

Weavers Corner Pharmacy

Practice address

1866 N Tamiami TRL
North Fort Myers, FL 33903-3366

Phone

(239) 995-2700

Fax

(239) 995-2707

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Ahmad Alhaddad, RPH

Title

Pharm

Phone

(239) 995-2700

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• WEAVERS CORNER PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1689715427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866 N TAMIAMI TRL",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339033366",
            "telephone_number": "239-995-2700",
            "fax_number": "239-995-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 N TAMIAMI TRL",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339033366",
            "telephone_number": "239-995-2700",
            "fax_number": "239-995-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEAVER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "ALHADDAD",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "PHARM",
        "authorized_official_telephone_number": "239-995-2700",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH20021",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1004162",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026680900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEAVERS CORNER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in North Fort Myers, FL
• Providers in North Fort Myers, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.