Organization Active NPI

Weber & Judd Co

  • Long Term Care Pharmacy
  • Rochester, MN
National Provider Identifier
1790874303
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
261295 Issued in MN
Legal business name
WEBER & JUDD CO
Practice address
1814 15TH St NW
Rochester, MN 55901-0707
Phone
(507) 285-9079
Fax
(507) 289-2190
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Wade Hanson
Title
Manager
Phone
(507) 289-1666

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X 261295 MN Primary

Addresses

Primary practice location

1814 15TH St NW
Rochester, MN 55901-0707

Mailing address

PO Box 5877
Rochester, MN 55903-5877

Other identifiers 3

IdentifierTypeStateIssuer
630158400MedicaidMN
2424810OtherNCPDP PROVIDER IDENTIFICATION NUMBER
491758800MedicaidMN

Other names 1

  • Weber & Judd Nursing Care RX Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1790874303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5877",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559035877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 15TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559010707",
            "telephone_number": "507-285-9079",
            "fax_number": "507-289-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBER & JUDD CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "507-289-1666"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MN",
            "license": "261295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630158400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2424810",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "491758800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weber & Judd Nursing Care RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.