Organization Active NPI

Weber & Judd Co

Doing business as Weber & Judd - Marriott Plaza

  • Community/Retail Pharmacy
  • Rochester, MN
National Provider Identifier
1932251287
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
260543 Issued in MN
Legal business name
WEBER & JUDD CO
Doing business as
Weber & Judd - Marriott Plaza
Practice address
101 1St Ave SW
Rochester, MN 55902-3146
Phone
(507) 289-0716
Fax
(507) 289-0588
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Wade Hanson
Title
Manager
Phone
(507) 289-1666

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 260543 MN Primary

Addresses

Primary practice location

101 1St Ave SW
Rochester, MN 55902-3146

Mailing address

PO Box 5877
Rochester, MN 55903-5877

Other identifiers 2

IdentifierTypeStateIssuer
259060300MedicaidMN
2414124OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Weber & Judd - Marriott Plaza Doing business as

National Provider Directory

National Provider Directory

Locations

101 1st Ave SW
Rochester, MN 55902
Phone (507) 289-0716

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1932251287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5877",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559035877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 1ST AVE SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559023146",
            "telephone_number": "507-289-0716",
            "fax_number": "507-289-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBER & JUDD CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "507-289-1666"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "260543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259060300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2414124",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weber & Judd - Marriott Plaza",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.