Weis Markets Inc
Organization Active NPI Community/Retail Pharmacy · Oley, PA
NPI 1114950441 · NPPES record last updated Nov 18, 2009
Key facts
- NPI
- 1114950441
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- WEIS MARKETS INC
- Practice address
- 61 Kings PLZ
Oley, PA 19547-8718 - Phone
- (610) 987-9877
- Fax
- (610) 987-3614
- NPI assigned
- Jul 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Jeffery Maltese, RPH
- Title
- Vice President Pharmacy
- Phone
- (570) 863-2809
Corporate family (same tax ID) 18
Practitioners 9
-
Angelina Adair, PHARMD
-
Kendall Nicole Kramer, PHARMD
-
Kerry Willis McCord, PHARMD
-
Christopher P Moyer, CPHT
-
Danielle Nicole Wunder, PHARMD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Weis Markets Inc |
Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Canes and/or Crutches|Ostomy Supplies|Urological Supplies|Surgical Dressings | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080915000562 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 8527134642 | This NPI is an additional NPI on the enrollment |
| O20100930063832 | PA | DME Supplier - Pharmacy |
8527134642 | Practice locations: Oley, PA |
National Provider Directory
- Tax ID family
- Weis Pharmacy 26
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PP414169L | PA | |
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
61 Kings PLZ
Oley, PA 19547-8718
Mailing address
1000 S 2ND St
PO Box 471
Sunbury, PA 17801-3318
Phone (570) 286-3623
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3957923 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 1007742100139 | Medicaid | PA | |
| 1474762 | Medicaid | PA |
Other names
- WEIS PHARMACY
Other providers in Oley, PA
All providers in Oley, PA · Community/Retail Pharmacy in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.