MR. GARY JOHN WEIDEMANN RPH
NPI 1750604591
Pharmacist in Rolla, MO

Active since March 08, 2010
1003 S BISHOP AVE, ROLLA, MO 65401(573) 364-6079 Get Directions Write a Review

NPPES record last updated: March 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Gary John Weidemann Rph NPPES

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

MR. GARY JOHN WEIDEMANN RPH (NPI 1750604591) is an individual pharmacist in Rolla, Missouri, licensed in Missouri (044150) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1750604591
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. GARY JOHN WEIDEMANNCredential: RPH
Location Address1003 S BISHOP AVERolla, MO 65401-4437
Mailing Address10575 County Road 2038Rolla, MO 65401-8462 · (573) 368-2993
Sole ProprietorYes
Enumeration DateMarch 8, 2010
NPI 1750604591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MO · 044150
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.
1003 S BISHOP AVE, Rolla, MO 65401

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
1003 S BISHOP AVE
ROLLA, MO 65401
Pharmacist
1003 S BISHOP AVE
ROLLA, MO 65401

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 Gary Weidemann's NPI number?

The NPI number for Gary Weidemann is 1750604591. It was assigned to this individual provider in the NPPES registry on March 8, 2010.

Where is Gary Weidemann located?

Gary Weidemann practices at 1003 S Bishop Ave, Rolla, MO 65401. The listed phone number is (573) 364-6079.

What is Gary Weidemann'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 Gary Weidemann was last updated on March 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.