MR. BRIAN A WEIR (NPI# 1750634390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750634390 |
| Entity Type | Individual |
| Full Name | MR. BRIAN A WEIR |
| Credential | RPH |
| Practice Address |
1011 N Wisconsin St Port Washington WI 53074-1207 |
| Practice Telephone | 2622843436 |
| Mailing Telephone | 2622843436 |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2013-04-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | R9679 | WI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073049508 | Brian Weir | Psychologist | 23 N Lincoln St, Hinsdale, IL 60521-3436 | 2017-05-03 |
| Street Address |
1011 N WISCONSIN ST |
| City | PORT WASHINGTON |
| State | WI |
| Zip Code | 53074-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619922028 | Shopko Stores Operating Co LLC | Pharmacy | 1011 N Wisconsin St, Port Washington, WI 53074-1207 | 2006-05-24 |
| 1073959748 | Martin T Becker | Pharmacist | 1011 N Wisconsin St, Port Washington, WI 53074-1207 | 2013-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962045864 | Heather Kay Brede | Technician | 857 Ashley Avenue, Port Washington, WI 53074 | 2019-10-23 |
| 1780062034 | Amanda Zitzer | Specialist/Technologist | 1037 S Spring Street, Apt 257, Port Washington, WI 53074 | 2015-05-07 |
| 1639507643 | Kelly Mulder | Occupational Therapy Assistant | 138 E Prospect St, Port Washington, WI 53074 | 2013-10-30 |
| 1235310921 | Susan Ann Dobberpuhl | Occupational Therapist | 306 N Sprint St, Port Washington, WI 53074 | 2007-11-21 |
| 1245444736 | Lee B Raffel | Social Worker | 3632 E Norport Drive, Port Washington, WI 53074 | 2007-05-10 |
| 1023143708 | Joshua E Leute | Dentist | 1317 West Grand Avenue, Port Washington, WI 53074 | 2007-02-22 |
| 1578633806 | Robert Andrew Kortsch | Dentist | 457 W Grand Ave, Port Washington, WI 53074 | 2006-11-08 |
| 1538256409 | Daniel P Witkowski | Dentist | 1612 N Wisconsin St, Port Washington, WI 53074 | 2006-10-10 |
| 1477584878 | Francine L Cosner | Obstetrics & Gynecology | 1777 W Grand Avenue, Port Washington, WI 53074 | 2006-07-05 |
| 1013953926 | Port Washington Podiatry Inc | Podiatrist | 1317 W Grand Avenue, Port Washington Podiatry, Port Washington, WI 53074 | 2006-06-20 |
| Find all providers in zip 53074 | ||||
| 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 |
|---|---|---|---|---|
| 1023619186 | Seta Crilley | Pharmacist | 17 Fishermans Dr, Port Washington, NY 11050-1733 | 2020-11-05 |
| 1639677537 | Seung Mi Park | Pharmacist | 80e Seaview Blvd, Port Washington, NY 11050-4618 | 2018-01-25 |
| 1548709124 | Parisa Kiumehr | Pharmacist | 961 Port Washington Blvd, Port Washington, NY 11050-2910 | 2017-02-16 |
| 1417360199 | Thomas Fattah | Pharmacist | 14 Soundview Market Pl, Port Washington, NY 11050-2221 | 2014-06-10 |
| 1831441880 | Chun Koung Cho | Pharmacist | 100 Harbor View Dr Apt 201, Port Washington, NY 11050-4714 | 2012-10-15 |
| 1740565225 | Iman Bishara | Pharmacist | 1 Anchorage Rd Apt 2, Port Washington, NY 11050-3103 | 2011-10-17 |
| 1164747630 | Thomas Young Suh | Pharmacist | 100 Habor View Drive #630, Port Washington, NY 11050 | 2010-03-29 |
| 1386968048 | Paul Mark Schimel | Pharmacist | 475 Port Washington Blvd Unit 8, Port Washington, NY 11050-4291 | 2010-03-23 |
| 1255654141 | Rinsi Chacko | Pharmacist | 80 Seaview Blvd, Ge Healthcare, Port Washington, NY 11050-4618 | 2010-03-05 |
| 1104148667 | Richard Harold Neuman | Pharmacist | 12 Roger Dr, Port Washington, NY 11050-2515 | 2010-02-24 |
| Find all providers in PORT WASHINGTON | ||||
| City | PORT WASHINGTON |
| Zip Code | 53074 |
Please comment or provide details below to improve the information on MR. BRIAN A WEIR.
| 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.