Active NPI
Hunter Bud Weitze, RPH
- Pharmacist
- Colfax, WA
National Provider Identifier
1710607239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61307179
- Practice address
- 109 S Main St
Colfax, WA 99111-1803 - Phone
- (509) 397-2111
- NPI assigned
- Sep 2, 2022
- Last updated
- Sep 2, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH61307179 | WA | Primary |
Addresses
Primary practice location
109 S Main St
Colfax, WA 99111-1803
Mailing address
202 N Mill St Apt 8
Colfax, WA 99111-1856
Phone (509) 288-1595
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH61307179 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tick Klock Drug LLC | Current | Accepting new patients |
Locations
109 S Main St
Colfax, WA 99111
Phone (509) 397-2111
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1710607239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 N MILL ST APT 8",
"city": "COLFAX",
"state": "WA",
"postal_code": "991111856",
"telephone_number": "509-288-1595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 S MAIN ST",
"city": "COLFAX",
"state": "WA",
"postal_code": "991111803",
"telephone_number": "509-397-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEITZE",
"first_name": "HUNTER",
"middle_name": "BUD",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-02",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61307179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colfax, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.