Randolph J Weaver
Randolph J Weaver is a healthcare organization registered as Pharmacy in Bath, NY, holding Type 2 (organization) NPI 1104282318 since 2016. The authorized official on file is Randolph Weaver, Owner/Rph.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104282318 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Randolph J Weaver |
| Other name | <Unavail> |
| Practice address | 7181 STATE ROUTE 54, Bath, NY, 14810 |
| Phone | 6076649039 |
| Enumeration date | 2016-01-05 |
| Last updated in NPPES | 2016-01-25 |
Authorized official
| Name | Randolph Weaver |
|---|---|
| Title | Owner/Rph |
| Phone | 6076649039 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Primary | 034106 | NY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2157398 | Other | — | PK |
Copy-ready billing details
Provider: Randolph J Weaver NPI: 1104282318 Taxonomy: 333600000X (Pharmacy) Address: 7181 STATE ROUTE 54, Bath, NY, 14810
Verify this record
Cross-check NPI 1104282318 against the authoritative CMS record: view Randolph J Weaver on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Randolph J Weaver?
Who is the authorized official for Randolph J Weaver?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-01-25.