Randolph J Weaver
Pharmacy
7181 State Route 54, Bath
New York, 14810-9502
607-664-9039 Randolph J Weaver is a Pharmacy in Bath, New York. It is located at 7181 State Route 54, Bath and it's customer support contact number is 607-664-9039. The authorized person of Randolph J Weaver is Randolph Weaver who is Owner/rph of the pharmacy and his contact number is 607-664-9039. Active license number of Randolph J Weaver is 034106 for Pharmacy in New York. Randolph J Weaver accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Randolph J Weaver is 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.
Pharmacy Details:
Randolph J Weaver type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Randolph J Weaver |
| Type: | Pharmacy |
| Location: | 7181 State Route 54, Bath,
New York, 14810-9502 |
| Phone: | 607-664-9039 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Randolph Weaver |
| Position: | Owner/rph |
| Contact Number: | 607-664-9039 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1104282318 |
| NPI Enumeration Date: | 05 Jan, 2016 |
| NPI Last Update On: | 25 Jan, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Randolph J Weaver are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | 034106 | New York | Primary | |
| Community/Retail Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2157398 | Other | | Pk |
Medicare Enrollment:
Randolph J Weaver is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5395026181 | O20170110002974 | Randolph J Weaver | PART B SUPPLIER - OTHER |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 7181 State Route 54,
Bath, New York |
| Zip: | 14810 |
| Phone Number: | 607-664-9039 |
Patients can reach Randolph J Weaver at
7181 State Route 54, Bath, New York or can
call on customer care at 607-664-9039.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.