Individual provider Active NPI

John Wallace Weih, RPH

  • Pharmacist
  • Traverse City, MI
National Provider Identifier
1871616060
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302022343 Issued in MI
Practice address
3850 N Long Lake Rd
Traverse City, MI 49684-9601
Phone
(231) 947-2880
Fax
(231) 947-2907
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302022343 MI Primary

Addresses

Primary practice location

3850 N Long Lake Rd
Traverse City, MI 49684-9601

Mailing address

4010 Holiday North CT
Traverse City, MI 49686-3763
Phone (231) 938-3316

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
5302022343MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871616060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 HOLIDAY NORTH CT",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863763",
            "telephone_number": "231-938-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 N LONG LAKE RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849601",
            "telephone_number": "231-947-2880",
            "fax_number": "231-947-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIH",
        "first_name": "JOHN",
        "middle_name": "WALLACE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302022343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

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

Verify at the official NPI Registry.