Active NPI
Marolyn Reynolds Weaver, RPH
- Pharmacist
- Abilene, TX
National Provider Identifier
1942537600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18894
- Practice address
- 3033 S 14TH St
Abilene, TX 79605-5144 - Phone
- (325) 695-1440
- Fax
- (325) 795-1374
- NPI assigned
- Nov 17, 2009
- Sex
- Female
- 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 | 18894 | TX | Primary |
Addresses
Primary practice location
3033 S 14TH St
Abilene, TX 79605-5144
Mailing address
3033 S 14TH St
Abilene, TX 79605-5144
Phone (325) 695-1440
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18894 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
- Abilene, TX
- NPI 1952316929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258416000000",
"number": "1942537600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3033 S 14TH ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796055144",
"telephone_number": "325-695-1440",
"fax_number": "325-795-1374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3033 S 14TH ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796055144",
"telephone_number": "325-695-1440",
"fax_number": "325-795-1374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "MAROLYN",
"middle_name": "REYNOLDS",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-17",
"last_updated": "2009-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "18894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.