Alexis C Weaks, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

23676 Issued in NC

Practice address

3600 O'Neill Dr
Jackson, MI 49202-4963

Phone

(517) 788-5961

NPI assigned

Aug 27, 2013

Last updated

May 12, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Alexis C Kountouris Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1821422734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 O'NEILL DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492024963",
            "telephone_number": "517-788-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 O'NEILL DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492024963",
            "telephone_number": "517-788-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAKS",
        "first_name": "ALEXIS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "23676",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302043254",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "KOUNTOURIS",
            "middle_name": "C",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jerry Lee Watson III
• Kaydence Watson
• Glenn Richard Watterson, DDS
• Scott A Watterson, DDS
• Waves of Change, LLC
• Jacob Michael Weaks, PHARMD, R.PH.
• Weatherwax Family Pharmacies Inc
• Kimberly D Weaver, PSY.D
• Christopher A Webb
• Clarissa Webb

• Pharmacist in Jackson, MI
• Providers in Jackson, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.