Organization Active NPI

Weldon Pharmacy Inc

  • Community/Retail Pharmacy
  • Hueytown, AL
National Provider Identifier
1962402693
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
110000 Issued in AL
Legal business name
WELDON PHARMACY INC
Practice address
1280 Hueytown Rd
Hueytown, AL 35023-2602
Phone
(205) 491-2805
Fax
(205) 497-1432
NPI assigned
Jul 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Mr. Stephen Lelus Weldon, RPHNPI 1568464345
Title
Vice President
Phone
(205) 491-2805

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 110000 AL Primary
Compounding Pharmacy 3336C0004X 110000 AL

Addresses

Primary practice location

1280 Hueytown Rd
Hueytown, AL 35023-2602

Mailing address

1280 Hueytown Rd
Hueytown, AL 35023-2602
Phone (205) 491-2805

Other identifiers 1

IdentifierTypeStateIssuer
100000177MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120511000326 AL Part B Supplier - Mass Immunization (Roster Biller Only) 5193841823 Practice locations: Hueytown, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2124309Weldon Pharmacy Inc1280 Hueytown Road, Hueytown, AL 35023Certificate of waiverJan 12, 2027

National Provider Directory

National Provider Directory

Locations

1280 Hueytown Rd
Hueytown, AL 35023
Phone (205) 491-2805

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1962402693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 HUEYTOWN RD",
            "city": "HUEYTOWN",
            "state": "AL",
            "postal_code": "350232602",
            "telephone_number": "205-491-2805",
            "fax_number": "205-497-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 HUEYTOWN RD",
            "city": "HUEYTOWN",
            "state": "AL",
            "postal_code": "350232602",
            "telephone_number": "205-491-2805",
            "fax_number": "205-497-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELDON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "WELDON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "LELUS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "205-491-2805",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "110000",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "AL",
            "license": "110000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000177",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hueytown, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.