NPIMap

Organization Active NPI

Weimer Drug Co., Inc.

Doing business as Patterson Health Mart Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Clay Center, KS
National Provider Identifier
1821119306
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
207255 Issued in KS
Legal business name
WEIMER DRUG CO., INC.
Doing business as
Patterson Health Mart Pharmacy
Practice address
422 Lincoln Ave
Clay Center, KS 67432-2908
Phone
(785) 632-3115
Fax
(785) 632-3777
NPI assigned
Apr 3, 2007
Last updated
Oct 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Lindy Clark
Title
DME Billing Administrator
Phone
(785) 632-3115

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 207255 KS Primary
Oxygen Equipment & Supplies (DME) 332BX2000X 207255 KS
Prosthetic/Orthotic Supplier 335E00000X 2-07255 KS

Addresses

Primary practice location

422 Lincoln Ave
Clay Center, KS 67432-2908

Mailing address

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

Other names 1

  • PATTERSON HEALTH MART PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930088551 KS DME Supplier - PharmacyDME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Oxygen & Equipment 4688712714 Practice locations: Clay Center, KS

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Patterson Family Apotheca7 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.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1821119306",
    "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": "422 LINCOLN AVE",
            "city": "CLAY CENTER",
            "state": "KS",
            "postal_code": "674322908",
            "telephone_number": "785-632-3115",
            "fax_number": "785-632-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIMER DRUG CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LINDY",
        "authorized_official_title_or_position": "DME BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "785-632-3115"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KS",
            "license": "207255",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "KS",
            "license": "207255",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "KS",
            "license": "2-07255",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PATTERSON HEALTH MART PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PATTERSON HEALTH MART PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clay Center, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.