Active NPI
Kathy Weaver
- Pharmacist
- Avon Lake, OH
National Provider Identifier
1740952613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21239
- Practice address
- 31990 Walker Rd
Avon Lake, OH 44012-2181 - Phone
- (440) 933-9598
- Fax
- (440) 933-7571
- NPI assigned
- Sep 29, 2021
- Sex
- Female
- 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 | 21239 | OH | Primary |
Addresses
Primary practice location
31990 Walker Rd
Avon Lake, OH 44012-2181
Mailing address
31990 Walker Rd
Avon Lake, OH 44012-2181
Phone (440) 933-9598
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21239 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riser Foods Company | Past | Accepting new patients | |
| Riser Foods Company | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Cambridge, OH
- NPI 1225927155
-
- Community/Retail Pharmacy
- Avon Lake, OH
- NPI 1871508788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632873600000",
"number": "1740952613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31990 WALKER RD",
"city": "AVON LAKE",
"state": "OH",
"postal_code": "440122181",
"telephone_number": "440-933-9598",
"fax_number": "440-933-7571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31990 WALKER RD",
"city": "AVON LAKE",
"state": "OH",
"postal_code": "440122181",
"telephone_number": "440-933-9598",
"fax_number": "440-933-7571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "KATHY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-29",
"last_updated": "2021-09-29",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "21239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon Lake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.