KENNETH WEAVER (NPI# 1164974218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164974218 |
| Entity Type | Individual |
| Full Name | KENNETH WEAVER |
| Credential | PHARM.D |
| Practice Address |
1361 Lake Park Blvd N Carolina Beach NC 28428-3946 |
| Practice Telephone | 9104584172 |
| Mailing Telephone | 9104584172 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26427 | NC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942262167 | Kenneth Weaver | Obstetrics & Gynecology | 1103 E Jackson Blvd, Ste 1, Jonesborough, TN 37659 | 2006-04-04 |
| 1407821382 | Kenneth W Weaver | Nurse Anesthetist, Certified Registered | 1150 Se 18th Pl, Ocala, FL 34471 | 2006-02-22 |
| 1689671430 | Kenneth Ray Weaver | Ophthalmology | 715 Shaker Dr Ste 110, Lexington, KY 40504-3674 | 2005-07-07 |
| 1578527412 | Kenneth L Weaver | Physician Assistant | 5 St Vincent Cir, Suite 100, Little Rock, AR 72205 | 2006-04-17 |
| Street Address |
1361 LAKE PARK BLVD N |
| City | CAROLINA BEACH |
| State | NC |
| Zip Code | 28428-3946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578578571 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1361 Lake Park Blvd N, Carolina Beach, NC 28428-3946 | 2006-07-29 |
| 1740508753 | Daniel A Wittman | Pharmacist | 1361 Lake Park Blvd N, Carolina Beach, NC 28428-3946 | 2010-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235682022 | Pleasure Island Health | Nurse Practitioner | 1328 North Lake Park Blvd Ste 102, Carolina Beach, NC 28428 | 2016-07-27 |
| 1497151625 | Brianna Noelle Walter | Counselor | 1328 Lake Park Blvd N Ste 109, Carolina Beach, NC 28428 | 2014-11-17 |
| 1003061045 | John B Callahan | Counselor | 100 Eighth St N, Carolina Beach, NC 28428 | 2008-11-18 |
| 1649365099 | Amanda Dixon Cerqueira | Dentist | 1328 N. Lake Blvd, Suite 107, Carolina Beach, NC 28428 | 2006-10-03 |
| 1104929884 | North Carolina Cvs Pharmacy LLC | Pharmacy | 901 Dow Rd, Carolina Beach, NC 28428 | 2006-09-07 |
| 1184635302 | Vincent Robert Smith | Dentist | 1300 Bridge Barrier Rd, Carolina Beach, NC 28428 | 2006-08-11 |
| 1972029320 | Kaitlin Sledge Maertz | Speech-Language Pathologist | 105 Florida Ave, Carolina Beach, NC 28428 | 2017-08-17 |
| 1033557665 | Carolina Beach Counseling, LLC | Psychiatry & Neurology | 1328 Lake Park Blvd N, Suite 109, Carolina Beach, NC 28428 | 2013-06-05 |
| 1720253784 | Wilmington Health Pllc | Specialist | 1300 Bridge Barrier Rd, Suite 2, Carolina Beach, NC 28428 | 2008-04-29 |
| 1639776362 | Olga O Orraca | Acupuncturist | 1328 Lake Park Blvd N Ste 106b, Carolina Beach, NC 28428-3906 | 2020-10-06 |
| Find all providers in zip 28428 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821325507 | Sabra L Quarles | Pharmacist | 1361 N Lake Park Blvd, Carolina Beach, NC 28428-3946 | 2009-11-17 |
| 1659716488 | Martha Ann Dancy | Pharmacist | 901 Dow Rd, Carolina Beach, NC 28428-4514 | 2013-05-07 |
| 1659651792 | Marsha B Winstead | Pharmacist | 901 Dow Rd, Carolina Beach, NC 28428-4514 | 2011-08-21 |
| 1801174412 | Jeanne L Mcevoy | Pharmacist | 901 Dow Rd, Carolina Beach, NC 28428-4514 | 2011-07-31 |
| 1972898922 | Lauralyle Johnson Weaver | Pharmacist | 901 Dow Rd, Carolina Beach, NC 28428-4514 | 2011-06-17 |
| 1740508753 | Daniel A Wittman | Pharmacist | 1361 Lake Park Blvd N, Carolina Beach, NC 28428-3946 | 2010-05-14 |
| 1144557885 | David George Young | Pharmacist | 1361 N Lake Park Blvd, Carolina Beach, NC 28428-3946 | 2009-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688401 | Melissa Claire Kratz | Pharmacist | 930 Hwy 711 East, Pembroke, NC 28372 | 2020-10-30 |
| 1679173611 | Keith Mcbrayer Hunt | Pharmacist | 630 Bostic Sunshine Hwy, Bostic, NC 28018-9779 | 2020-10-29 |
| 1518566066 | Amitkumar Prahaladbhai Patel | Pharmacist | 5450 New Hope Commons Dr # 2137, Durham, NC 27707-9716 | 2020-10-25 |
| 1619576568 | Efthalia Retsios Rodriguez | Pharmacist | 7860 Rea Rd # 16466, Charlotte, NC 28277-6502 | 2020-10-21 |
| 1578160149 | Brett Daniel England | Pharmacist | 401 Glenwood Ave Ste 101, Raleigh, NC 27603-1219 | 2020-10-06 |
| 1215544580 | Sarah Payne Maddox | Pharmacist | 1 Hospital Dr Rm 2231, Asheville, NC 28801-4550 | 2020-09-30 |
| 1093321739 | James Doyle Richardson | Pharmacist | 1072 N Main St Ste 103, Walnut Cove, NC 27052-9312 | 2020-09-18 |
| 1922614643 | Sharisse Berry | Pharmacist | 425 Sawyers Mill Rd Apt 306, Charlotte, NC 28262-1877 | 2020-09-17 |
| 1912512997 | Sheri Mitten | Pharmacist | 202 Swordgate Dr, Cary, NC 27513-1630 | 2020-09-15 |
| 1669087953 | Elton Wayne Long | Pharmacist | 5106 Nc Highway 87 S Ste 100, Fayetteville, NC 28306-3424 | 2020-09-13 |
| Find all providers with the same taxonomy | ||||
| City | CAROLINA BEACH |
| Zip Code | 28428 |
Please comment or provide details below to improve the information on KENNETH WEAVER.
| 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.