William D Weaver
Individual provider Active NPI Pharmacist · Geneva, NE
NPI 1801823968 · NPPES record last updated Nov 16, 2018
Key facts
- NPI
- 1801823968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 9019 (NE)
- Practice address
- 1014 G St
Geneva, NE 68361-2007 - Phone
- (402) 759-4433
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9019 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Town and Country Pharmacy Inc | Current | Accepting new patients |
Locations
1014 G St
Geneva, NE 68361
Phone (402) 759-4433
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9019 | NE | Yes |
Addresses
Primary practice location
1014 G St
Geneva, NE 68361-2007
Mailing address
1014 G St
Geneva, NE 68361-2007
Phone (402) 759-4433
Other providers in Geneva, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.