MARY JO WEIDENBAUM
NPI 1639775240
Pharmacist in Brodheadsville, PA

Active since December 09, 2020
CVS PHARMACY, RT 209 AND 115, BRODHEADSVILLE, PA 18322(570) 992-6454 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Jo Weidenbaum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY JO WEIDENBAUM (NPI 1639775240) is an individual pharmacist in Brodheadsville, Pennsylvania, licensed in Pennsylvania (RP035615T) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1639775240
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMARY JO WEIDENBAUM
Location AddressCVS PHARMACY, RT 209 AND 115Brodheadsville, PA 18322
Mailing AddressPo Box 1120Brodheadsville, PA 18322-1120 · (570) 992-6454
Sole ProprietorNo
Enumeration DateDecember 9, 2020
NPPES CertifiedDecember 7, 2020
NPI 1639775240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in PA · RP035615T
Definition
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.
CVS PHARMACY, Brodheadsville, PA 18322

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Jo Weidenbaum's NPI number?

The NPI number for Mary Jo Weidenbaum is 1639775240. It was assigned to this individual provider in the NPPES registry on December 9, 2020.

Where is Mary Jo Weidenbaum located?

Mary Jo Weidenbaum practices at CVS Pharmacy Rt 209 And 115, Brodheadsville, PA 18322. The listed phone number is (570) 992-6454.

What is Mary Jo Weidenbaum's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Mary Jo Weidenbaum was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.