Healthcare Provider Details

I. General information

NPI: 1225331085
Provider Name (Legal Business Name): DANIEL JAY WEBER RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2010
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1282 SMITHFIELD PLZ
SMITHFIELD VA
23430-6054
US

IV. Provider business mailing address

1282 SMITHFIELD PLZ
SMITHFIELD VA
23430-6054
US

V. Phone/Fax

Practice location:
  • Phone: 757-357-0178
  • Fax: 757-357-7581
Mailing address:
  • Phone: 757-357-0178
  • Fax: 757-357-7581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number0202206342
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number009595
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: