WEYRAUCH'S PHARMACY (NPI# 1972506582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972506582 |
| Entity Type | Organization |
| Organization Name | WEYRAUCH'S PHARMACY |
| Practice Address |
4959 Kidron Rd Kidron OH 44636-0231 |
| Mailing Address |
4959 Kidron Rd Po Box 231 Kidron OH 44636-0231 |
| Practice Telephone | 3308570115 |
| Practice Fax Number | 3308571731 |
| Mailing Telephone | 3308570115 |
| Mailing Fax Number | 3308571731 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOHN ADAM WEYRAUCH IV (PHARMACIST/OWNER) |
| Authorized Official Telephone | 3308570115 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0737144 | 05 | |
| NCPDP NUMBER | 3652270 | 01 |
| Street Address |
4959 KIDRON RD |
| City | KIDRON |
| State | OH |
| Zip Code | 44636-0231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316922172 | John Adam Weyrauch Iv | Pharmacist | 4959 Kidron Rd, Kidron, OH 44636-0231 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164612933 | Clear Springs Medical Center Ltd | Obstetrics & Gynecology | 4774 Kidron Rd., Kidron, OH 44636 | 2007-07-27 |
| 1740200328 | Francisco Praveen Varicat | Psychiatry & Neurology | 3000 Erie Street South, Massillion, OH 44636 | 2006-07-19 |
| 1598758229 | Jessica Elyse George | Advanced Practice Midwife | 4774 Kidron Rd, Kidron, OH 44636 | 2005-08-29 |
| 1871671404 | Raber Dental Inc | Clinic/Center | 3693 Kidron Rd, Kidron, OH 44636 | 2006-11-01 |
| 1477692531 | Raber Eye Care Inc | Optometrist | 3693 Kidron Rd., Kidron, OH 44636-0010 | 2007-02-05 |
| 1487622593 | Philip Raber | Optometrist | 12990 Emerson Rd., Kidron, OH 44636-0010 | 2006-03-14 |
| 1124135884 | Myriam E H Raber | Dentist | 3693 Kidron Rd, Kidron, OH 44636-0020 | 2006-08-25 |
| 1174677306 | Kidron Volunteer Fire Department Inc | Ambulance | 4772 Kidron Road, Kidron, OH 44636-0155 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164612933 | Clear Springs Medical Center Ltd | Obstetrics & Gynecology | 4774 Kidron Rd., Kidron, OH 44636 | 2007-07-27 |
| 1477692531 | Raber Eye Care Inc | Optometrist | 3693 Kidron Rd., Kidron, OH 44636-0010 | 2007-02-05 |
| 1174677306 | Kidron Volunteer Fire Department Inc | Ambulance | 4772 Kidron Road, Kidron, OH 44636-0155 | 2007-01-23 |
| 1124135884 | Myriam E H Raber | Dentist | 3693 Kidron Rd, Kidron, OH 44636-0020 | 2006-08-25 |
| 1487622593 | Philip Raber | Optometrist | 12990 Emerson Rd., Kidron, OH 44636-0010 | 2006-03-14 |
| 1598758229 | Jessica Elyse George | Advanced Practice Midwife | 4774 Kidron Rd, Kidron, OH 44636 | 2005-08-29 |
| 1871671404 | Raber Dental Inc | Clinic/Center | 3693 Kidron Rd, Kidron, OH 44636 | 2006-11-01 |
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.