Active NPI
David R Weber, R.PH.
- Pharmacist
- Grandview, WA
National Provider Identifier
1780712166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61011531
- Practice address
- 1000 Wallace Way
Grandview, WA 98930-8805 - Phone
- (509) 882-3444
- NPI assigned
- Feb 28, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051 031334 | IL | |
| Pharmacist | 183500000X | PH61011531 | WA | Primary |
Addresses
Primary practice location
1000 Wallace Way
Grandview, WA 98930-8805
Mailing address
1000 Wallace Way
Grandview, WA 98930-8805
Phone (509) 882-3444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1426457 | Other | IL | NABP |
| 363313963002 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dwebner35264@yvfwc.direct-ci.com | Direct |
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 |
|---|---|---|---|
| 051 031334 | IL | MD | Pharmacist |
| PH61011531 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bobrowski Industries Princeton LLC | Past | Accepting new patients | |
| D Diko LLC | Past | Accepting new patients |
Interoperability endpoints
- dwebner35264@yvfwc.direct-ci.com
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
- Princeton, IL
- NPI 1851763924
-
- Community/Retail Pharmacy
- Princeton, IL
- NPI 1871581926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1780712166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 WALLACE WAY",
"city": "GRANDVIEW",
"state": "WA",
"postal_code": "989308805",
"telephone_number": "509-882-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WALLACE WAY",
"city": "GRANDVIEW",
"state": "WA",
"postal_code": "989308805",
"telephone_number": "509-882-3444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "DAVID",
"middle_name": "R",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051 031334",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61011531",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "1426457",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "363313963002",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dwebner35264@yvfwc.direct-ci.com",
"affiliation": "N",
"endpointDescription": "YVFWC Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1000 Wallace Way",
"city": "Grandview",
"state": "WA",
"country_code": "US",
"postal_code": "989308805",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grandview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.