Active NPI
Brian Weaver, PHARM D
- Pharmacist
- Twin Falls, ID
National Provider Identifier
1861680753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P5991
- Practice address
- 1139 Addison Ave E
Twin Falls, ID 83301-5224 - Phone
- (208) 734-2660
- Fax
- (208) 736-3872
- NPI assigned
- Oct 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | P5991 | ID | Primary |
Addresses
Primary practice location
1139 Addison Ave E
Twin Falls, ID 83301-5224
Mailing address
1139 Addison Ave E
Twin Falls, ID 83301-5224
Phone (208) 734-2660
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 |
|---|---|---|---|
| P5991 | ID | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Twin Falls, ID
- NPI 1609985142
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191542400000",
"number": "1861680753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1139 ADDISON AVE E",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833015224",
"telephone_number": "208-734-2660",
"fax_number": "208-736-3872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1139 ADDISON AVE E",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833015224",
"telephone_number": "208-734-2660",
"fax_number": "208-736-3872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "BRIAN",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-05",
"last_updated": "2007-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P5991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.