Weyrauch'S Pharmacy, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

02-0585000 Issued in OH

Legal business name

WEYRAUCH'S PHARMACY, LLC

Practice address

4959 Kidron Rd
Kidron, OH 44636-0231

Phone

(330) 857-0115

Fax

(330) 857-1731

NPI assigned

May 27, 2005

Organization subpart

No

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

Authorized official

Name

John A Weyrauch, RPHNPI 1316922172

Title

Managing Member

Phone

(330) 857-0115

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Weyrauch's Pharmacy Doing business as

Practitioners 2

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

• John Adam Weyrauch IV, RPH

  • Pharmacist
  • Kidron, OH
  • NPI 1316922172
  NPD Authorized official
• Shirley K Weyrauch, RPH

  • Pharmacist
  • Kidron, OH
  • NPI 1730772088
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715385600000",
    "number": "1972506582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 KIDRON RD",
            "address_2": "PO BOX 231",
            "city": "KIDRON",
            "state": "OH",
            "postal_code": "446360231",
            "telephone_number": "330-857-0115",
            "fax_number": "330-857-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 KIDRON RD",
            "city": "KIDRON",
            "state": "OH",
            "postal_code": "446360231",
            "telephone_number": "330-857-0115",
            "fax_number": "330-857-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEYRAUCH'S PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A",
        "authorized_official_last_name": "WEYRAUCH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "330-857-0115",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "02-0585000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0737144",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "3652270",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weyrauch's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Philip Raber, O.D.
• Yang Sun Shin
• John Adam Weyrauch IV, RPH
• Shirley K Weyrauch, RPH
• Weyrauch'S Pharmacy, LLC

• All providers in Kidron, OH
• Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2024; 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.