NPIMap

Organization Active NPI

Weimer Drug Co., Inc.

Doing business as Patterson Health Mart Pharmacy Lincoln

  • Community/Retail Pharmacy
  • Lincoln, KS
National Provider Identifier
1801801444
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2-09944 Issued in KS
Legal business name
WEIMER DRUG CO., INC.
Doing business as
Patterson Health Mart Pharmacy Lincoln
Practice address
204 W Lincoln Ave
Lincoln, KS 67455-1920
Phone
(785) 524-4649
Fax
(785) 524-3402
NPI assigned
Jul 30, 2006
Last updated
Apr 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Authorized official

Name
Scott Nolan Patterson, RPHNPI 1336188895
Title
Owner
Phone
(785) 632-3115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2-09944 KS Primary

Addresses

Primary practice location

204 W Lincoln Ave
Lincoln, KS 67455-1920

Mailing address

422 Lincoln Ave
Clay Center, KS 67432-2908
Phone (785) 632-3115

Other identifiers 3

IdentifierTypeStateIssuer
2031106OtherPK
2002663600BMedicaidKS
200263600AMedicaidKS

Other names 1

  • Patterson Health Mart Pharmacy Lincoln Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091111000108 KS Part B Supplier - Mass Immunization (Roster Biller Only) 4688712714 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Abilene, KS; Lincoln, KS; Clay Center, KS

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Weimer Drug Co Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1801801444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 LINCOLN AVE",
            "city": "CLAY CENTER",
            "state": "KS",
            "postal_code": "674322908",
            "telephone_number": "785-632-3115",
            "fax_number": "785-632-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W LINCOLN AVE",
            "city": "LINCOLN",
            "state": "KS",
            "postal_code": "674551920",
            "telephone_number": "785-524-4649",
            "fax_number": "785-524-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIMER DRUG CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "NOLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-632-3115",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-09944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2031106",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002663600B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200263600A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patterson Health Mart Pharmacy Lincoln",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Patterson Health Mart Pharmacy Lincoln",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.