Active NPI
Michael Steven Weinheber, PHARMD
- Pharmacist
- Brooklyn, NY
National Provider Identifier
1811171622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 026957
- Practice address
- 4721 16TH Ave
Brooklyn, NY 11204-1107 - Phone
- (718) 438-1800
- Fax
- (718) 853-6563
- NPI assigned
- Dec 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 026957 | NY | Primary |
Addresses
Primary practice location
4721 16TH Ave
Brooklyn, NY 11204-1107
Mailing address
4721 16TH Ave
Brooklyn, NY 11204-1107
Phone (718) 438-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02556292 | Medicaid | NY |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026957 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duane Reade | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198800000000",
"number": "1811171622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4721 16TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112041107",
"telephone_number": "718-438-1800",
"fax_number": "718-853-6563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4721 16TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112041107",
"telephone_number": "718-438-1800",
"fax_number": "718-853-6563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINHEBER",
"first_name": "MICHAEL",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-28",
"last_updated": "2007-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "026957",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02556292",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.