Kylie Michelle Weaver, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

42074 Issued in SC

Practice address

1941 Blossom St
Columbia, SC 29205-2217

Phone

(803) 212-1015

NPI assigned

Jul 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Columbia, SC
  • NPI 1710200290
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1780238923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 FORT CONGAREE TRL APT 1910",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290333737",
            "telephone_number": "704-975-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 BLOSSOM ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292052217",
            "telephone_number": "803-212-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "KYLIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "42074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie D Weathers, LISW-CP
• Arlondra Weaver, PA
• Audrey Weaver
• Gary S Weaver, DC
• Jabe Kinnis Weaver, PHARM.D.
• Tara Ann Weaver
• William Thayer Weaver, LMSW
• Kimberly Sherese Webb, CLC
• Kristin Webb, NP
• Lee Ann Webb, NP

• Pharmacist in Columbia, SC
• Providers in Columbia, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.