Weber Medical Clinic LTD

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

541542 Issued in IL

Legal business name

WEBER MEDICAL CLINIC LTD

Doing business as

Weber Clinic Pharmacy

Practice address

1200 N East Street
Olney, IL 62450-2499

Phone

(618) 395-8561

Fax

(618) 395-8552

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John L Reed

Title

Administrator

Phone

(618) 395-2223

Specialties & licenses 1

Addresses

Other names 1

• Weber Clinic Pharmacy Doing business as

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1982791240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N EAST STREET",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624502499",
            "telephone_number": "618-395-8561",
            "fax_number": "618-395-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N EAST STREET",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624502499",
            "telephone_number": "618-395-8561",
            "fax_number": "618-395-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBER MEDICAL CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-395-2223",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "IL",
            "license": "541542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weber Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Alyssa Weber
• Amy Webster, MA,MHP
• Kaci Marie Wells
• Sharon K Welty, APN MSNCS

• Clinic Pharmacy in Olney, IL
• Providers in Olney, IL by specialty
• Clinic Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.