Organization Active NPI

Weber & Judd Co

  • Community/Retail Pharmacy
  • Rochester, MN
National Provider Identifier
1982793592
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
260126 Issued in MN
Legal business name
WEBER & JUDD CO
Practice address
1315 6TH St NW
Rochester, MN 55901-1822
Phone
(507) 289-6368
Fax
(507) 289-5348
NPI assigned
Oct 12, 2006
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 260126 MN Primary

Addresses

Primary practice location

1315 6TH St NW
Rochester, MN 55901-1822

Mailing address

PO Box 5877
Rochester, MN 55903-5877

Other identifiers 2

IdentifierTypeStateIssuer
491758800MedicaidMN
2415467OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Weber & Judd - Barlow Plaza Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1982793592",
    "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": "1315 6TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011822",
            "telephone_number": "507-289-6368",
            "fax_number": "507-289-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBER & JUDD CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "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": "260126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "491758800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2415467",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weber & Judd - Barlow 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.